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i014155 F1885 darns Drive •M8n HIII, CA 95937•(408)776-9500 4 FAX(408)782-6308 <br /> 819 Striker Ave, Svita$*Sacramento,CA 95834■ (fl i6)921-8800*W(916)921-0100 <br /> {]404 N Wsget Lane•Walnut Creek,CA 94598 f(925)988-9640•FAX(925)088 9673 <br /> TOSCU 01455 McDowell Blvd North, Sudo D•Petaluma,CA 94954•(707) 792-1865•FAX(707)792-0342 <br /> (j 1$51 Industrial Road•San Carlos,CA 84070•{650)232-9640•FAX(650)232-9612 <br /> Cor[stiltant Company y file � 4V ivc' Tosco Engtneeer rIq <br /> Address13 b <br /> � 1 '� yrf i [ _... �o� Site # <br /> City re f v rA m State C Zip Code Site Address `f-70 i7 Pet Gr-(+�G <br /> Tek[phoneax#. 71 Email �81r( rte, tty,State �-to,c Is (c I i7C.9 ' Ol <br /> Deport To ` le r' Sampter , OG Data Level D (Standard) 0 Level C © Level B �]Level A °' <br /> _ U <br /> Turnaround 9114 Work Days E]5 Work Days E13 Work Days U Drinking Water Analyses Requesled <br /> Time. [ 2 Work Days © I Work Day Ej 2 8 Hours Fte <br /> Cto Water <br /> b <br /> Protect Coding <br /> Client Oateffirne Mafnx if 01 Cont Sequa'gs <br /> Sampto I D Sampled Desc Coni Type Samplop A-Z Comments <br /> 1 V VV— 7 vi(qW VOA I� �--U1 <br /> 2 d <br /> 6 <br /> 4 <br /> 5 � <br /> 13 ° <br /> 7 _ <br /> S _ _ <br /> 10 <br /> _ n <br /> nrlinqulshe-d By r Date 1/—;> d Time Received _ Date D Tirn.l <br /> Relinquished By Dale Time necalved By - Dale, Time � <br /> Relinquished By Date 'rime Received Sy Date Tme <br /> YYeie Samples Received in Good Cond[tion ❑Yes O No Samples on lce7 (]Yes p No Method of Shipment Rage of <br /> To he completed upon reco[pl of report <br /> 1)11Wero thu analyses requested on tho Cham of Custody fvporteW I'es Ll No It no,wiral snalyses are still needed' <br /> Ir <br /> 2)Was tho report Issued wrlhin the requested turnaround hme? ( Cas ©N4 It no,what was the naround t[[t 09 <br /> Approved try Vc,", b �] �,/05 S ✓' Signature— ~, `~- Company C``A7— Date ._ -03 <br />