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U 819 Striker A uiie 8• Sacramento, CA 95834• <br /> C <br /> IN OF CUSTODY (916) 921-9600 FAX (916)! 100 { <br /> 1900 Bates Ave., Suite LM • Concord, CA 94520• (510) 686-9600 FAX (510) 686-9689 <br /> s Mobil Oil Consulting Firm- L N <br /> Station No./Site Address: Q ' -3y 3� -t-;�O t <br /> Address14 � <br /> Project Contact: S C-L Le <br /> Ci State: [i Zi ��!J7� U Mobil Oil Engineer <br /> Tei: Fax.: <br /> Sam ler s si nature): <br /> a CODING <br /> t.7o 3 (check one) <br /> H N O O all11 cm co 40 <br /> N <br /> V w a T 8 . a a- v ❑ a a it Code 1 Emergency <br /> C o o o Lf) AD w m o 0 o uwi N ❑ w m Response <br /> E F o o a 2 a umi "r p N N 2 i= w <br /> m ep N V w a p Q N Q �, m n <br /> E x m m m n ~ w❑ C7 w v �i ❑ �+ O a. >, Code 2 Site <br /> E b m E x x $ so O 1- Assessment J <br /> 7 a a a b 2 Q Q Q m a Gi y m <br /> F= a z r- m m w O O ►�- w w w D ma w a m m Code 3 <br /> i { Remediation <br /> z Z S� •!- l /9 / (Plan Devlpmt.) <br /> A0 3 to — _ (J V Code 4 = Active Remed. <br /> ( SU Ol135 <br /> (InstallJStarr•up) <br /> Z�" 0s 1 6 Code 5 Active Remed. <br /> ODM <br />..�8_ 3S _ Code 6 Passive RemetJ <br /> 1 <br /> z �O ` Monitoring <br /> Code 7 Closure <br /> AllCz Ad <br /> Code 8 ❑ Construction <br /> ssl <br /> Code 9 ❑ Litigation/Claims <br /> S040l 9 <br /> v Fines <br /> Fte#irpe�isl'►!xd DaRelint7pi`s�ed by: <br /> ` DatelTime: maround Time: <br /> X (check one): <br /> Aea^q>�sr,ed by: -(,-5' <br /> Normal , ' Same day <br /> �Date/7ime: Re' q ' Datelrims: t day_- 2 day <br /> Datelrime: elin ish 5 day <br /> + Datefrime: <br /> Mgema Sample!nt ri <br /> Intact On <br /> If' <br /> t. <br /> ;I <br />