ARCHIVED REPORTS_XR0011648 - Laserfiche WebLink

Home Browse Search

U} Qui Jdi vl, UI 1'dl; ^ ivluf i dl I i I lu, Um :JJuo i , l,'+Uu) r r u-`11UUv ' d 1-v. +'IQO) i U--UJVU Nn 0 0 7 U L❑ 819 Striker Ave'-;-,quite 8 • Sacramento, CA 95834 • (916) 921-9600 - FAX (916) 921 DO ❑ 404 N. Wiget L "" • Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-96'�'.... TOSCO L) 1455 McDowell Blvd. North, Suite D - Petaluma, CA 94954 • (707) 792-1865 • FAX (707) 792-0342 ❑ 1551 Industrial Road - San Carlos, CA 94070 • (650) 232-9600 • FAX (650) 232-9612 Consultant Company: G l _ rz4", �� ya��*�� Tosco Engineer: - Address: 7 Sri S%Grv<c_ �- Site #: City: 6 State: �t Zip Code: 9vs6�, Site Address: d c� !� 7o6(3 7 Telephone: Fax #: Cit State: J q °3 Report To: L�+r Sampler:A,1 QC Data: �Kl-evel D (Standard) ❑ Level C ❑ Level B ❑ Level A C: Turnaround ,X1 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Analyses Requested d Time: ❑ 2 Work Days ❑ 1 Work Day ❑ 2-8 Hours L[ Waste Water 0 OtherrO� x`p Project Coding.- Client oding:Client Date/Time Matrix # of Cont. Sequoia's �Q�� Q��v �� }ao,�°0 `l�G Comments Sample I.D. pled Desc. Cont. Type Sample # o Ptrc,Sz 2. 504 w 3. -Z-fj j•.v,R�c � Cr 5. 6.B. 7. o 9. 13- S 5- Cr .�. a) 10. - - 07t rn Relinquished By: Date: Z ZS Time:tReceived By: Date: Time: Relinquished By: Date: Time: Received By: Date: Time: Relinquished By: Date: Time: Received B Date: Time: Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page of To be completed upon receipt of report: 1)Were the analyses requested on the Chain of Custody reported? ❑Yes ❑ No If no,what analyses are still needed? 2) Was the report issued within the requested turnaround time? ❑Yes U No If no,what was the turnaround time? Approved by: ____ Signalure:_ Company: Date: