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Lab Name: A�ac.v%A �r %�G EQUIVA Services LLC <br /> CHAIN OF CUSTCX}Y RECORD <br /> Lab Address: company Contact(s)ror invoice: INGIQEN7 Ni#JH18ER DATE. 1 Z t7 O <br /> PAGE: <br /> �: FAX: Teem cal sus 9 8 9 9 5 8 7 4 _OF t <br /> TE , <br /> MA PRCJFCT CONSULTMT{Name and Company): SITE ADDFJM: <br /> Owen Ratch e-Carnbria Environmental Technology, Inc. 341 East Main Street,Ripon,Ca. <br /> ADDRESS: CONSULTANT f ROJECt NO.:ZQ-O 2< <br /> 6262 Hollis Street EQUNACONTACT: <br /> crTr: Karen Petryna <br /> Emeryville,Ca 3AhAPLER(5�: SlGNATUR L11BgNY <br /> TEL: fAx E MA1L _ � - <br /> 510 50-1984 510 50.8295 oratchyegcambris.env <br /> TURNAROUND TIME(BUSINE55 DAYS) REQUESTED ANALYSIS <br /> L] 10 DAYS ❑ 5 DAYS E] 72 HR ® 48 HR [] 24 HR 0 X24 HR <br /> 0 LA-RWQCB REPORT FORMAT UST AGENCY: San Joaquin Co. m <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL $ <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) <br /> _r <br /> Oxygenates to include Ethanol,TBA, EtBE, MtBE, TAME, D1PE m x x �, o K � _ c „ <br /> e O+ .. z g I <br /> + + _ <br /> BTEX=0.5 b, MtBE=0,5 b, DIPE=1.D b, w .. <br /> Y a <br /> Detection Limits: TPHg=5Dppb, pp Pp pP , a <br /> LL <br /> EtBE=1.0TBA= b Ethanol=140b a ,� - - �i a .. w : '' <br /> SAMPLING MAT- Ho ar aC a W . <br /> FiLU 0 <br /> eld Sample identification DATE TIME RIX �'" t- <br /> > W � <br /> 1 1 E) (0-7- � "' H2O 4 x x x <br /> Al �• H2O 4 x x x <br /> B 1 H2O 4 x x x <br /> E 1 H2O 4 x x x <br /> T T <br /> CO L R E T C <br /> R uWW (Signetu Received try:(Signature} Date: Time: <br /> 3^ RafVwish by:(Signature) Received try:((Signature) : Tim' <br /> . Fteiinqu' .(3ipneture) <br /> Reeewd try: re) Dais: Time' <br />