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1 <br /> No V 01015 9 ©885 Jarvis Dave •Morgan Hill,CA 95487 ■ (408)776-9600•FAX(408)782-6308 <br /> &819 Striker Ave .Suile 0 ■$vcramcwo,CA 95534•(916)921-96W*FAX(9%)9:�1-0100 <br /> ❑404 N Wiget Lane 1,Walnut Creek, CA 94598•(925)988-9600*FAX(925)888-9873 <br /> To% + ❑1455 McDowell Blvd North,Sukle D•Petaluma,CA 84954 •(707)792-1$85• FAX (707)792-0342 <br /> ❑1551 tndustrral Road•San Carlos,CA 94070• (650)232-9600• FAX(6,50):>32-912 j <br /> Consultant Company Ce- T 0 Tosco Engineer Ed I II _ H <br /> -_ - <br /> Address h P 6� f� site 9 l I V <br /> City state � Zip Code q Site Address 0P- �&C f.,Z C Ott}di <br /> Tolephone (707)7 3M5 Fax# i <br /> 0 —3a18Ema�t -m{ er ilk�d City,Slab l fac lc+ oily, � <br /> Report To � $t� Sampler * l ❑G Gata Leval D(Standard) ❑Level„C ❑1Lovel s ❑Leval A <br /> Turnaround 1410 Work Gays ❑5 Work hays ❑3 Work Days Q Drinking Water Analyses Requested <br /> Time, (� 2 Work bays ❑1 Werk Day ©2.0 Hours L Waste Water cc, q, Q - <br /> _ ❑other �4 J NIN <br /> Protect Coding - ,k� Q� <br /> Cllent f}a TIme Mafnx #of Coat SequofaTq <br /> Sample I D Sampled beso Cont Type Sampte# �.`� CQrrrments <br /> 2 4&lff <br /> 4 �C <br /> 5 -- -- I <br /> 6 i+ <br /> -7 -- i <br /> I� <br /> B <br /> _ a <br /> v <br /> Relinquish ed£3y -- ate O Time Reaelved _ €]ate i5 Tirr <br /> Relinquished 8y Date Tirne Received BV <br /> _ Date li rime <br /> i <br /> Rehr ulshld By _ Date I Timo Received B Hate _I �I TIMI <br /> E Were Samples Recen+ed in Good Condition ❑Yes ❑No Samples on Ice? ❑Yes rl No Method of shipment_ Pale of <br /> i To be completed upon receipt of report -- <br /> 1)Woro tho analyses requested on the Chain of Custody reported? J?J1'es ❑No If flak what analysos aro Still rieeded? I� <br /> 2)Wag(tie report Issued within the requested turnaround tim9? (J Yes &No ff ria,what was NO turnaraltnd lrrne3 <7 <br /> I� <br /> Approv Signalure Company. 2 (late <br /> - _ - <br /> IM111w <br /> I I <br />