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• U 083 dCurw v51.v • - <br /> 002822 U gig StrNmr Ave.Suite 8•Sacrami'OMd, CA;35834 • (916] 521-9600 FAx {916y 921-0100 <br /> U 404 N Wrgei Lane*Walnut Creek,CA 94598•(925) 9813 966 FAX (925)988-9673 <br /> U 1455 McDoweil Blvd North, Suite D-Petalugna, CA 94954 -(707)792-1865 FAX 1707)792 0342 i <br /> TOSCO © 1551 Indusiriat Road-San Carlos, CA 94070-(650)232-9600 FAX J550) 232 9612 - F <br /> Consultant�;omparly Project Name o' CD <br /> r _�� -_ <br /> _T_ <br /> Address ? -- ,1 G - TOSCO Ern+ r(rewired) <br /> �- Z" <br /> State Code. <br /> —_- - *--- -- --- - <br /> �r — Cd/0 <br /> - - r FAX tt' $S '�- Site ,Gily, State ?d1✓ <br /> IF <br /> FAX <br /> leiaph carte �1�Cr' , S 1 � <br /> QC Data <br /> evel D tsianaamf ❑Level C U Lead B U Level A � <br /> Report To a t ( saw .' C; -- c <br /> t3 5 Wo+k Days U 3 Work Days U Drh*Ing Water Analyses Requested a <br /> Tumeround 10 Work(hays Cl2•B Hags Q � � <br /> Ttnne. 2{Nark Qays O 11Atatk IDeY ©Waste V41IRIer rit <br /> U 4Arsc U Detect U FEW Reinril <br /> ed O Dernol D Clasars ' <br /> -- etrlx tl at Cont SeRuota's � �°R ��4:--���"/�, Commerris -- - ----- - m <br /> Client Data�Tlme M SarnQle 9 <br /> San�pte 1 D Sampled Desc. Cant Type <br /> 1 t -� -_ -- �-� z <br /> d - r <br /> 6 -- - - - — O <br /> ?--- �_ _-- ---- --- ---- - -- —_ - to <br /> g _ -- - - -- - -- ----- - - - m int <br /> -- -- a w <br /> - -- - - Cr <br /> m <br /> Tirr►e- �f Received BY - -- _ _ Date 71.6 a� Tin-se a <br /> o Heluquished By __-- _-- <br /> Dale 0� Tune:f 3�u Received gY to Y + Time <br /> Rela�quEsltzd By - 1 <br /> � <br /> Rolmnquished Cly Date Tune Received By Date i trite <br /> m Pago _ of <br /> Wers Sams Hecervedrn Good GondnuWs UNo SampoIca? OYes OND MelfiodofShpment - <br /> m <br /> t� Ca <br /> To be colroeted upon receipt of MPS <br /> 1)Were the analYSM requested on the Chair:01 Custody reported? U Yes O No It no,what analyses are still heeded? <br /> 2)Was the report issued within iMf requested turnaround ttrtte7 ©Yes U No If no,what was the tumaroLmd trine? - - - -------- --__ <br /> Approved by -- - - - <br /> Slgr►ature Company Date <br />