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Q -- � �l6 CHAIN OF CUSTODY ORD <br /> Lab N <br /> EQUIVA SWices LLC <br /> Lab AddrG. ... company Contact(s)for invoice: INCIQENT NUMBER2` DATE: <br /> PAGE: <br /> TEL: FAX: Technical Services g g 9 9 5 $T74 —1—OF f <br /> EOUIVA PROJECT CONSULTANT(Name and Company): SITE ADDRESS: <br /> Owen Ratch e-Cambria Environmental Technology, Inc. <br /> ADDRESS: I` 341 East Main Street, Ripon, Ca. <br /> 6262 Hollis Street EaUIVA CONTACT: CONSULTANT PROJECT NO.:242-0324 <br /> CITY: 11 Karen Petryna <br /> Emeryville, Ca SAMPLER(S) (SIGNATURE) :,LAB usl oral Y <br /> TEL- FAX: II H-MAIL <br /> (510)450-1984 (510 450-8295 oratchyefcambria.env ❑, ODE ❑ <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> 10 DAYS 0 5 DAYS E] 72 HR ® 48 IHR 24 HR [] <24 HR REQUESTED ANALYSIS <br /> ED LA-RWQCB REPORT FORMAT UST AGENCY: San Joaquin Co. <br /> m <br /> MTBE CONFIRMATION: HIGHESTHfGHEST per BORING ALL <br /> CO <br /> 0 <br /> II N 6 L -I <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) 5 H c a o <br /> , <br /> r_ Y <br /> �liwl L- � ; a E Q <br /> Oxygenates to include Ethanol,TSA, ELBE, MtBE, TAME, DIPE W m x c o m c a <br /> m o O 2 n v L — Z w i- ° <br /> a m + } m Z H m m ti m m a p <br /> Detection Limits: TPH =50 b, BTEX=0.5 .b MtBE=0.5 b DIPE= w w "- E a t a a v <br /> J PP pP PA 1.Oppb, a, m w o 9 o �, <br /> m >, CO Z. U V = K C J <br /> EtBE=1.0 b TBA= b Ethanol-100 b �� a' LU ,L r, v �, N o o IL LL y <br /> uii SAMPLING MAT- No.OF = S W W V LU m io = w o fl o <br /> I use,` Field Sample Identification RIX <br /> CONT, ,Z �- o ►- w CL Q a Q r <br /> ONLY. DATE TIME t- H m m 7 W F ti to > 7 > > F O <br /> 11 —6 II ll- 22 "" H2O 4 x x x <br /> 00 <br /> At MVV II '� H2O 4 x x x <br /> B 1 II `�" H2O 4 x x x <br /> E 1 II H2O 4 x x x <br /> II SF AL A T <br /> IINL Lr TA T <br /> IICc 01,111 it <br /> 13C <br /> IE <br /> COOLER <br /> RAJ <br /> Relinquish by:(Signr17 �` R 'ved by:(Signature) <br /> ► Time:�� ' <br /> R ' uis a by:(Signature) I�" Received by:( ignature) Date: Time: _ <br /> elinqui d by:( ignature) �! Receive y: ignature) date: Time: <br /> - if , <br />