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N° 000877 ���,,ar,�s �� , <br /> 1819 Striaer Ave,Suit9 8•Saerarnerttq CA 95834"(916)921-9tOU FAJi t91t3}921-0100 <br /> O 404 N W iget Lane•Walnut Green,CA 94598-(925) 988-9600 FAX(925)988-9673 <br /> TOSC O 1455 McDowell Blvd North,Suite D-Petaluma.CA 94954•(707)792-1865 FAX (707)792-0342 <br /> 01551 lndestdal Road-San Carlos, CA 94470.(650)232-9600 FAX (650) 232-9612 <br /> kddmass7p� <br /> mpany- �, Propet Naum � "� � + 2�6� pui f ur` G TOSCO Engineer(requu�iad)Stale• Zip.C a ry ♦[� p �, )Z� ! �Ax* [J �,7s ske D,Cft State {p/ 0 /�► <br /> Deport To• L5 p Sampler �,. 6,koliG S OC Data o revel D(standa4 ❑Levo1 C -1 Levu B ❑L6vel A" <br /> rwrowmi x10 Work Days q5 Wak Days O 3 Work Days U Dmking Water � Requested [k <br /> ❑ AN <br /> 2 VAxk Days ❑ 116ork Day 1:1243 Hours ❑Was-te Water <br /> CODE: U 1M5sc U Dated U Eval ❑Rome& G Dwrt04 U Closure <br /> iem Date/Tirne Matrix 9 of Cont Sequata's ConurWrils <br /> Saarr> 1 D Sampled Dm Gott Type Sample ��` <br /> 0 <br /> , LK <br /> 2 +3A7,0 e7 <br /> 0 <br /> 4 -- <br /> I <br /> 5 — — ——-- <br /> 9 � <br /> CE <br /> M <br /> h <br /> a Tirne•�9brf3 Recenred B Date Kp&O Time 13=HQ <br /> Relinquished By <br /> Relinquished By Date- Time. F--- Received By- Date Time <br /> m e <br /> 0 R gy Date. Time Recewed By Date Tim <br /> r <br /> 1rUere Samples Received in Good Condlort? Dyes O fie 5sirnpfes on tca7 Oyes ONO Method d Sl>iprnant I—o r To b compk*ed Won reWpt of mpadTo tie compk*ed tion receipt of Depart <br /> i)Were the analyses requested on the Charm of Custody mpurled? ❑Yes U No 8 rm, what a mhmes are slJA needed? <br /> 2)Was IN report Issued withln the requested turnaround tine? a Yes ❑No It no,what was the turnaround timQ <br /> Cflrr�any _ -Date <br /> d py;_ &gnatum <br /> I <br />