Laserfiche WebLink
Lab Name: „�—J �+G EQUIVA Se.ryices LLC CHAIN' OF CUSTODY RECORD <br /> [ Company Contacts)for Invoice: <br /> Lab AddyINCIDENT NUMBER DATE: 1 <br /> . <br /> PAGE: <br /> TEL: FAX: techriical Services 9 8 9 9 5 8 7 1 4 OF 1 <br /> EQUIVA PROJECT CONSULTANT(Name and Company): 1` SITE ADDRESS: <br /> Owen Ratch e-Cambria Environmental Technology, Inc. <br /> ADDRESS: - �� 341 East Main Street, Ri on, Ca. <br /> 6262 Hollis Street EQUIVA CONTACT: CONSULTANT PROJECT NO,'242-OM4 <br /> CITY: �I Karen Petr na <br /> Emeryville, CaSAMPLER(S): SIGN REI 'LA6 USE ONLY <br /> ,,.,. <br /> TEL FAX: II E-MAIL - <br /> 510 450- 295 oralch a@cambria.env ❑: ❑�❑❑ <br /> 510 450-1984 � 8 Y <br /> TURNAROUND TIME(BUSINESS FLAYS) I <br /> Q 10 DAYS 0` 5 DAYS ❑ 72 HR ® 48 IHR E] 24 HR 0 <24 Hfl REQUESTED ANALYSIS <br /> n <br /> 11 <br /> Q LA-RWQCB REPORT FORMAT UST AGENCY: San Joaquin Co. in <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL w � 17 <br /> O m L <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) °� :: t a ° <br /> ° @ z m 2 <br /> o <br /> E c c <br /> II E us w c m t £ ( Z <br /> F/ow l.+GrTEQ. 2J'Of/ O c o w F <br /> Oxygenates to include Ethanal,TBA, EtBE, IMSE, TAME, DIPS CO % °° °: X c o J M g ° <br /> d a o O° M y W Q L <br /> dl N w a ca d O <br /> Detection Limits: TPH 50 b, BTEX=0.5 b, MtBE=0.5 b, DIPE=1.0 b, m m d - �' h y a ti �_ <br /> 9= PA PI? PP PP rn F _ c a od r� o v v z m m J <br /> EtBE=1.Q b TBA= b Ethanol 1=100ppb �� `_ n * LL 0 v m H ° �- <br /> LAB: a w o �, c 0 ti o <br /> SAMPLING MAT- NO.of = Y yxj L) ra m R a .3 O w o o o 0 t7 <br /> use.: Field Sample Identification I� Rix COIN• IL (L >- o t- E a rc d m d <br /> ONr Y, DATE TIME F- F- 00 m 7 w M t� W > > 7 7 F O <br /> - 14) H2O 4 x x x <br /> s' A l I{ D H2O 4 x x x <br /> If - /0 1 x x x <br /> 81 H2O 4 <br /> Ix x x <br /> E 1 II!! I /G H2O 4 <br /> s �i <br /> S WA PrP <br /> I! <br /> C(10L ER ]PE C <br /> quished by Ignature) n Re y:(Signature) Date: Time: <br /> y_ qulsh y:(Signatur I! �d y: nature) Dat . Time: <br /> Reli shed by:(Signature) I� Received by:(Si ai re) j Time: <br /> law <br /> �� <br />