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l.J 000-jar vizi unvC - rviuigan I live, vn o,Pww, �T....f . .,.. -, •-- -___ <br /> 1 C)819 Striker Ave,;:-Suite 8 • Sacramento, CA 95834• (916) 921-9600 • FAX (916) 921-(9.100 <br /> 404 N. Wiget L- Walnut Creek, CA 94598 - (925) 988-9600 • FAX (925) <br /> ❑ 1455 McDowell blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 - FAX (7d`!) 792-0342 <br /> TOSCO 1551 46 striW Road San Carlos, C`A 9407). .(650) 232-9600 • FAX (650) 232-9612 - <br /> Con sultam-Connrarf : T Brig li el <br /> Address <br /> City 6 ►� Stade.: map Code: 4 Site.Addle ` +- <br /> c <br /> d <br /> Telephone:(9 ZS)S City; State: - v <br /> Report Ta 4 Sam QC Data: owl.D. (Stoodird) p I..9vel C a Lauel.B... ElLBvret A <br /> _ c <br /> Turnaround YiO Work Days ❑ crt DaYAnalysRequested 3 Wk;:Q#Ys ❑ Pdnking Wator <br /> a- <br /> True J 2 Work Days 'a 1 work Day ❑ 2-8 Hours ❑ Waste Water <br /> = Other <br /> Project Coding9 <br /> li Mx Cont. <br /> Sequoia's <br /> � C1 Comments <br /> : <br /> Comments <br /> Sample I.D. Sampled escCont. Type Sample <br /> y' '+p(tr.*e. 6 <br /> 2. )AW- 15 - (" <br /> 4• OzAZPt{ zEx w <br /> 5. w-f. la c <br /> 6. EPA $zca } <br /> .5-17.6 v O3f� <br /> 0 <br /> 9. 1 kW- i 5 1 <br /> 10. <br /> Relinquished By: Time: ( S Received B Date:S Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ 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? l]Yes ❑No If no,what analyses are still needed? <br /> 2)Voss the report issued within the requested turnaround time? ❑Yes ❑No If no,what was the turnaround time? <br /> Approved by: Signature: Company: Date: <br />