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L-1 8­1� S­t`r'ik­e­r`Av,e'-,, S,u-it-e,8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 <br /> -;f(�104 N.Wiget Lane *Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> 1-455 McDowell Blvd. North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> TOSCO U 1551 Industrial Road a San Carlos, CA 94070 - (650) 232-9600 FAX (650) 232-9612 <br /> Project Name: < <br /> Consultant Company: G-1+ F"Y "A e (I 6,H4 z— <br /> TOSCO Engineer (required) <br /> Address: 6 5s, 4-s— <br /> City: State: Zip Code: c1,V5jj;g <br /> P061" ', CA <br /> Telephone: FAX #- Site #, City, State: T) <br /> �nrl- <br /> Report To: Sampler: QC Data: XI-evel D (Standard) D Level C El Level B Q Level A <br /> Lf-x- <br /> Turnarouind )Qo work Days 0 5 Work Days 0 3 Work Days U Drinking Water Analyses Requested <br /> Time: 0 -2 Work Days Q lWork Day U 2-8 Hours U Waste Water %T <br /> .61 40 sel <br /> CODE: Q Misc. )(Detect. CJ Eval. El Remed, Ll Demol. 0 Closure XOther .41. <br /> AIP <br /> Client Date/Time Matrix # of Cont. Sequoia's Comments <br /> 11F <br /> Sampled Desc. Cont. Type Sample # <br /> Sample I.D. I /�t� <br /> e-occ- X X .5 <br /> 0(A -9 0 <br /> 1. C4M9-±(A,D) Z125-101 D <br /> 2. <br /> 3. <br /> 0 <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 0 <br /> =3 i <br /> 0- <br /> CD <br /> 10. <br /> Time:1-7s-o <br /> Date Received By:h� <br /> Relinquished By: <br /> Relinquished By: Date: Time: Received By:' Date: Time: <br /> Time: Received By: Date: Time: <br /> Relinquished By: Date: <br /> Were Samples Received in Good Condition? L3 Yes CJ No Samples on Ice? Ll Yes El No Method of ShiprVent Page of <br /> To be completed upon receipt of report: <br /> 1) Were the analyses requested on the Chain of Custody reported? D Yes Ll No If no, what analyses are still needed? <br /> j Yes If no, what was the turnaround time.? <br /> 2) Was�--' ' eport issued within the requested turnaround time? .,I <br /> ,o <br /> Approved Signature: Company: Dah-7�__ <br />