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i <br /> 1 <br /> { I <br /> NO 010176 ❑ESE;Jarvis Dave•Morgan Hill,CA 95037'+(408)776-9000.FAX(40 8)782-83()6 � <br /> i. 13819 Sinker Ave,Suite 8•Sacramento,CA 95634+(916)921-9600•FAX(916)921' 0100 <br /> II <br /> D404 N Wlgot Lans•Wafnut Creek,CA 94508,,(926)988-96004-FAX(925)988-9973 <br /> T <br /> E] 1455 MGT)owell Blvd North,Smile R■Pataluraa,CA 94954-(707)7S2-1$65•FAX(707)792.0342 <br /> 1551 Indusidai Ro9d•San Carlos,CA 94070+(1350)232-9800+FAX(650)232-9612 <br /> I - <br /> Consuttanf Oompany t/'' ��f Trico Errqineer. 4 11 <br /> 13 <br /> Address L 4r `l �f( + V p Site# <br /> City slate 6 A ZfjoCade r Site Address ' (J' � rrG evef✓ "" <br /> Telephone I, �t i fax# 'mall ' 1 � �� r City;State ill Di'1f (cl 1 IYP rVV a <br /> I apart To t✓ r7( e V sampler Lr ]! f Qf,Qata it Lovcl Q(S iindard p Level C [(€eYCI s ❑Level A <br /> Turnaround 401110 Work Days ❑5 Work Days Fj 3 Woik Days Q Drinking Water Analyses Requested <br /> Tune i 2 Work Das 1 Work Da 2-8 Hours u Waste Water � <br /> — �J, t I Y D Y ❑ p Qj '` <br /> Other <br /> Proloct Coding <br /> Client I; DatWirne Matrix #of Cont socivalifs <br /> Sampte I D 1 Sampled Dese Cont Type Sampled Comments <br /> 1 11V� o r? �` � � I`t`s -- - - - - - -- --- -- <br /> 3 I <br /> u a <br /> 4 aCr <br /> s �! T <br /> s <br /> --- d <br /> 7 f <br /> ' I <br /> � I <br /> 10 * <br /> Relinquished By ate 'dime D 2 Ncl"JAX 10bA02= Lid&n= Dak T"" ( � <br /> Relinquished Sy I�; 1 I _ _ Date Time Recelved B . Dale Tlme <br /> Flelin uTstrerf 8 �, I D] to Time Reserved 13 Dale Time <br /> Were Samp1'os p[ttcvrond in Good Condi#Fort ❑Yes ❑NO samples nn Ices F)Ws ©fro Method of shipment_ Pogo of <br /> To bo complotod upon(aCOIpt 01 reporD t <br /> i)Were the analyses requested on the ChaTn of Custody reported? [kfes l F]No It no,what analyses are Gtill needed? <br /> II <br /> 2)Was the report issued vathin'the requested turnaround time? Ves ❑NO if nob what was the tumaround tune? E <br /> 11 J <br /> Approved by —� I� J v s s Sl90aiure Company. 69 I --Dake <br />� Jf II <br />