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LU14e ❑885 Jarvis Drive•Morgan Hill,CA 95037•(408) 776-9600•FAX (408) 782-6308 <br /> [�819 Striker Ave, S •Sacramento,CA 95834•(916)921-9600•FAX (916) 921-0100 • <br /> ❑404 N Wiget Lanetainut Creek,CA 94598•(925) 988-9600• FAX (925) 988-9673 <br /> TOSCO ❑ 1455 McDowell Blvd North, Suite D•Petaluma,CA 94954• (707) 792-1865• FAX(707) 792-0342 <br /> ❑ 1551 Industrial Road•San Carlos,CA 94070•(650)232-9600• FAX (650) 232-9612 <br /> Consultant Company !� (�! 7, 4�f r !—11." Tosco Engineer 0 N,(-;tA, <br /> Address 3b j 4 Site# 'Y'f7 <br /> '7Vf fi <br /> , �-c r) <br /> City State , Zip Code qZ ,!�74 Site Address <br /> Telephone�4�G� l --;VCJ Fax# '�%� /- cLt,;�, Email a�Itos 't c{it i. City, State I-)6c <br /> Report 70 ! 5 � Ga 5� Sampler f,�� �� �� OC Data [J Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> U <br /> Turnaround ❑ 10 Work Days ❑5 Work Days ❑3 Work Days ❑ Drinking Water Analyses Requested Y <br /> Time ❑ 2 Work Days 1 Work Day ❑2-8 Hours ❑Waste Water ��, ��� ry�o O� <br /> E]Other � p � <br /> Project Coding � `� ��~� <br /> �✓ . Ra -n <br /> Client Date/Time Matrix #of Cont Sequoia's Q,rO SOC? OO/`1r�v <br /> Sample I D Sampled Desc Cant Type Sample# �Q � O OComments <br /> 1100 K X <br /> 25 Z (A- A rx <br /> 3 <br /> 5 <br /> 4 0 <br /> Cr <br /> 5 m <br /> 6 3 <br /> 0 <br /> 7 <br /> 8 <br /> 9 ro <br /> 0 <br /> 10 <br /> co <br /> Relinquished By - Date��jL �'s Time �t/�'1 Recery d Date (} Time <br /> Relinquished By Date Time Received By Date Time <br /> Itz <br /> Relinquished By Date Time Received By Date Time <br /> Were Samples Received in Good Condition ❑Yes ❑ No Samples on Ice? [:]Yes <br /> ❑ No Method of Shipment_ Page of <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chain of Custody reported? ❑Yes ❑ No If no, what analyses are still needed? <br /> 2)Was the report issued within the requested turnaround time? ❑Yes ❑ No If no, what was the turnaround time? <br /> Approved by Signature Company Date <br />