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£� <br /> Lab Na40 5EC-uo,%�_ ,�� 1 ,� EQU��/Q $ices LLC �-�,S' l CHAIN OF CUSTODY F*ORD <br /> Lab AddrL Company Contact(s)for Invoice: INCIDENT NUMBER 1 DATE; <br /> PAGE: <br /> TEL: FAX: Technical Servicesg $ 9 g 5 8 7 4 1—OF-1— <br /> EOUIVA PROJECT CONSULTANT(Name and Company): SITE ADDRESS: <br /> Owen Ratch e-Cambria Environmental Technology, Inc. <br /> ADORES& i[ 341 East Main Street, Ripon, Ca. <br /> 6262 Hollis Street EQUIVACONTACT: CONSULTANT PROJECTNO.:242-W24 <br /> CITY: 11 Karen Petryna <br /> Emeryville, Ca SAMPLERIS1:(SIG RE} LABUSE(ONLY <br /> TEL FAX E-MAIL <br /> 510 450-1984 (510)450- 4. <br /> 8295 oat chye@cambria.env —1,E]�❑❑❑❑ <br /> TURNAROUND TIME(BUSINESS DAYS) I`[ <br /> E] ❑ <br /> ❑ 10 DAYS 5 DAYS 72 HR ® 48 H`R 24 HR <24 HA REQUESTED ANALYSIS <br /> [:] ❑ <br />� II <br /> LA-RWOCB REPORT FORMAT UST AGEN"CY: San Joaquin Co. m <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL mo LO r m <br /> W IN <br /> cli Do <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) 0° m m t t2 o o y <br /> !� ."y z ur o c °r' <br /> C t En t z <br /> Oxygenates to include.Ethanol, TBA, EtBE, MtBE,TAME, DIPSto ; k o a Q <br /> X <br /> II a m O Q G1 i' h cV py PE] li N 51 <br /> 0 11 O <br /> Detection Limits: TPHg=50ppb, BTEX=0.5ppb, MtBE=0.5ppb, DIPE=1.0ppb, m m m m a o R o 0 <br /> a ° <br /> EtBE=1.0 laTBA= b Ethanol=100 b �� fl to �, = z o o a X a ti <br /> a w u U o N a H > > <br /> LA9 SAMPLING MAT- NO. X ?G y = W O O O O O O w. <br /> us>== Field Sample IdentificationCIL CIL. CL CL <br /> dike II DATE TIME RIX c°rar. a F m m O M ty 2Ir LL to > j 7 > 1F p <br /> H2O 4 x x x , <br /> A l I! H2O 4 x x x 2 <br /> 81 H2O 4 x x x <br /> 3 <br /> E 1 �� H2O 4 x x x O E CU Y LS ❑ <br /> N6Tc ❑ <br /> If <br /> Relinquish db ' ignature) !t Receivedb�ignature) rte, Date: Time: Q� <br /> AM <br /> elinquished by:(Signature) Received by:(Signatur bat :o Time:Ir <br /> Relinquished by:(Signature) �{ Received by:(Signature) Date: Time: <br /> I� <br />