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i <br /> • Company Contact(s)for Invoice: INCIDENT NUMBER DATE:! - <br /> Lab Addrb- <br /> PAGE: <br /> TEL: FAX: Technical Services 9 8 9 9 5 $ 7 4 1 OF 1 - <br /> EQUIVA PROJECT CONSULTANT(Name and Company): SITE ADDRESS: <br /> Owen Ratch e-Cambria Environmental Technology, Inc. 341 East Main Street, Ripon, Ca. <br /> AbORESS: <br /> 6262 Hollis Street EQUINA CONTACT: GON5UL7ANT PROJECT N0.:242-0324 <br /> CITY: Karen Petryna <br /> Emer Ville, ria SAMPLE IGNATURE) `� LAB USE ONLY <br /> TEL' FAX: E-MAIL C 00- <br /> 0OD❑ <br /> (510)450-1984 (510)450-8295 oratchye@cambria.env <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> 10 DAYS❑ 5 DAYS [] 72 HR ® 48 HR ❑ 24 HR Q <24 HR RE�IJESTED ANALYSIS <br /> IED LA-RWOCB REPORT FORMAT UST AGENCY: San Joaquin Co. m <br /> m o r <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL N <br /> v wN Q Ln L] O <br /> UCNS OR H <br /> F SPECIAL INSTRTIONOTES: TEMPERATURE ON RECEIPT(C) z° <br /> _ L w o r <br /> r Q <br /> Oxygenates to include Ethanol, TBA, EtBE, MtBE, TAME, DIPE m a m <br /> X <br /> O+ O+ M m N m m U. N o a 0 <br /> a �, E uo _ a M <br /> Detection Limits: TPHg=50ppb, BTEX=0.5ppb, MtBE=0.5ppb, DlPE=1.0ppb, � R m m E 0) o �` L) 0 d N <br /> r o <br /> to m O d a K o LL <br /> z <br /> Et13E=1.0 b TBA=ppb Ethanol=100 b iL tu u- o W rn �; > > <br /> LAB' SAMPLING MAT- tao.or X X h W R x o m `o o O o y <br /> usl�' Field Sample Identification CONT z a. � W " °° E a a a y <br /> oNLY' <br /> DATE TIME RIX Fa F0.- M oro O W M U- N > > > > I� O <br /> 1 <br /> 12—1 (D— 0 1 H2O 4 x x x <br /> LL A l 'z H2O 4 x x x <br /> B 1 -3 H2O 4 X x x <br /> E 1 H2O 4 x X x <br /> I <br /> Date: TimE:r <br /> R¢lin She { Ig turej �' Received b '(�Ignature) //il! <br /> C�.ej, <br /> u) ed by.(Signature) Received by:(Signature) Date: Time: <br /> Relinquished by:(Signature) Received by:(Signature) Date: Time: <br />