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i <br /> i U 885 Jarvis Drive • Morgan Hill, CA 95037 • (408) 776-9600• FAX (408) 782-6308 <br /> � _ 0 O�s93 U 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> U 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> TOSCO U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> U 1551 Industrial Road • San Carlos, CA 94070 * (650) 232-9600 FAX (650) 232-9612 <br /> i � <br /> Consultant Company Project Name <br /> e�r i - <br /> Addressrot S U1,,r TOSCO Engineer (required) 15 <br /> City }� n State Ga, zip Code <br /> Telephone 1) S _ 7 S S FAX # .��� Site #, City, State , 8� - 11�— _ _ – <br /> _ _ �5_ � __-- �_ 5 51 -? Sk � oc t o CLD <br /> Report To S �� s o Sampler B Gr>,Vc S QC Data Level D (standard) U Level C v Level B U Level A <br /> 11 <br /> Turnaround Wi 10 Work Days U 5 Work Days U 3 Work Days U Drinking Water Analyses Requested <br /> Time U 2 Woek Days U 1Work Day U 2 8 Hours u Waste Water z, %T <br /> CODE. <br /> �, <br /> CODE. U Misc Ll Detect U Eval U Remed U Demol U Closure u Other .41�oo Qryo� <br /> o a <br /> Client Date/Time Matrix # of Cont I Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample # �Q� ��`� ��0 �Q� Joys �s~0 Comments <br /> / <br /> -- o T�a Ei -- '' { -- - J� ,L �C S ((-?-A—C)1 -- r Ft5 rel ve <br /> - - - ---- o <br /> 2 c2 7-cv BY <br /> Alf- CD <br /> Cn <br /> 4 - o <br /> 5 --_ <br /> 7 <br /> 8 _— <br /> -_ - -- -- -- -- --- - - - -- --- o <br /> 10 Cr <br /> Relinquished By �� --- - Date �, �( oo Time ,j 5 Received By r J�44 - (` t ���L }Trane <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Were Samples Received in Good Condition? U Yes U No Samples on Ice? U Yes U No Method of Shipment _ _ Page of <br /> To be completed upon receipt of repos t <br /> 1) Wy�lhe �inalyses requested on the Chain of Cusludy reported U L1 No If no, what analyses are still needed'? <br /> 2) t, iepoil issued within the requested Imnaround time? UYes No If no, what was the tumaiound Hine? _ <br />