Laserfiche WebLink
❑ 819 Striker A cite 8• Sacramento, CA 95834 •(916) 921-9600 FAX (916)t) 00 <br /> AIN 4F CUSTODY <br /> M U 1900 Bates Ave., Suite LM •Concord, CA 94520 • (510) 686.9600 FAX (510) 686-9689 <br /> Mobil Oil Consulting Firm: G 7-6) <br /> Station No./Site Address: - 3 S/,j 777ez c'C. <br /> I Address: }l�l�/ n c�� g liti� Project Contact: <br /> A/ �. <br /> City-, State: `""4 zip: �f 4�J`rU Mobil Oil Engineer Q <br /> Tei: �/s U Fax.: S%O L, G'7� f L 6 C� <br /> Sampler(s) (si nature <br /> (n CODING <br /> a 3 (check one) <br /> o as s <br /> N co <br /> ma m a a " ❑ a Code 1 � Emergency <br /> m Y' Ill F a_ N m <br /> 4 0 m o y til D Response <br /> o a o c ¢ m m v n 3 = F w <br /> a N Po tr ui � d � v <br /> ° <br /> 0 Code 2 SiteQ <br /> N M �a al i O � Assessm <br /> entN J Vx m a- Q 0 <br /> 5P-1 a P a zm m w w mm d W Code 3 Remediallon <br /> 560,8 -n (PlanDe*rnt.) <br /> —7— NLc a <br /> J P_ ZI V V V V Code 4Active Remed. <br /> (Insta"Atart-up) <br /> AA A , A, I S P-3 Code 5 ❑ Active Remed. <br /> Sto— (O a M) <br /> Code 6 a Passive Remed/ <br /> 06 181 Monitoring <br /> Z ,O` 18 Code <br /> 7 Closure <br /> ~Z I S l 8 0 Construction <br /> 8� <br /> ode 9 ❑ Litigalion/Claims <br /> Fines <br /> :Relinquished by: Datefrime: Relin i hod by: Date/T1 e: Turnaround Time: (check one): <br /> Z y r Normal same day <br /> ,Fie1"qulshed by Datelrime: Relinquish Datefrim : 1 day 2 day <br /> L �, `'r ,'vAi� s day <br /> Relinquished try: �DatefTime: Refinquish <br /> ol`-' t Y� Date/Time: <br /> • -z is <br /> i i�ema�xs� Sample Integrity: <br /> Intact On Ice C� <br /> ll <br />�G O <br />