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N <br /> t-r 002338�.r J V NV 38 Li UPJ JaAi'vl� LAiVO ' IVIUIglAlI i Illi, %-tA JJUJ/ " (HUU) ! !U yUUU • tAA t }UU) IUL V,>L)o <br /> X19 Striker Ave , S e 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-010 <br /> tosco <br /> U 404 N Wiget Lan Inut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> U 1455 McDowell Blv orth, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 2-0342 <br /> U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Consultant Company (� ALI <br /> " _ y� -r�C Protect Name T 1 (-0 <br /> Address 3 r G C S Z TOSCO Engineer (required) <br /> City State C zip Code <br /> Telephone l _ 3 D FAX # ��(� _ J� , r Site #, city, State G �1<� ` L� m <br /> Report To A <br /> — Sampler ,�� J QC Data LTCevel D (Standard) U Level C ❑ Level B ❑ Level A v <br /> Turnaround U 10 Work Days ❑5 Work Days U 3 Work Days ❑Drinking Water Analyses Requested <br /> Time U 2 Work Days UlWGork Day U 2-8 Hours p r]..Waste Water �� ��°� � <br /> F <br /> C>'° Og ,4QQ' 'Q <br /> CODE: U Mlsc U Detect U Eval U Remed LTTemol U Closure Ul Other <br /> Client Date/Time Matrix # of Cont Se uoia's <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> 2 K Lr <br /> 1 S = iJUJ`+�15 S_ � is -n 01 � K XA i <br /> 0 <br /> 02L X <br /> X <br /> 3 r� D _ 50S 1C k cn <br /> c <br /> 4_V 7 fA- I sI l k K A - yb e- 13 a <br /> 5 J,4 ++ IS30 _155r <br /> 64 <br /> 7 s P1n 4 - A S55 7` x <br /> s <br /> 9 <br /> m <br /> 0 <br /> 10 v, <br /> m <br /> U) <br /> �. ,/ Q <br /> Relinquished By C Date 11 ,?Iuv Time O YHy Received By Date -�} Time <br /> r <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Ttme <br /> Were Samples Hecerved in Good Conddron9 U Yes ©No Samples on Ice? Q Yes ❑ No Method of Shipment Page_of <br /> To be completed upon receipt of report I <br /> 1)Were the analyses requested on the Chain of Custody reported? Yes U No It no, what analyses are still needed? - <br /> 2) Was the report issued withintherequested turnaround time? �(es U No If no, what was the turnaround time? <br /> Approved by ��- �*�Y __�=_Signature _ - _ ---_ Company --_412— Date <br />