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...... 4.MAII1w• jrT.i ., L%AV1VP% %�=l wgo Ir{.V 1 <br /> Company Contact(s)for Invoice: I,NGII]ENT Nt1M$ER DATE: I 2 <br /> Lab Address: = <br /> PAGE: <br /> TEL:( FAX: T t rtl t Se ar(ces, 9 8 9 9U 8 7 1 4 l OF - <br /> EQUIVA PROJECT CONSULTANT(Name and Company): SITE ADDRESS: <br /> Owen Ratch -Cambria Environmental Technology, Inc 341 East Main Street, Ripon, California <br /> ADDRESS: CONSULTANT PROJECT NO.: <br /> 6262 Hollis Street EQUIVACONTACT; <br /> Cm: Karen Petryna 242-0324 <br /> Eme ille California SAMPLER(S):(SIGNAT LAB USE ONLY <br /> TEL FAX: E-MAIL oratchve� �' ❑❑ <br /> 510 450-1984 510 450-8295 cambria-env.com <br /> TURNAROUND TIME(BUSINESS DAYS) REQUESTED ANALYSIS <br /> 10 DAYS[] 5 DAYS [] 72 HR ® 48 HR E] 24 HR r a24 HR <br /> [] LA-RWQCB REPORT FORMAT UST AGENCY: San Joaquin County io <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL- <br /> CD r v <br /> Co qi in r f o N <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) H z <br /> w o o <br /> N 0 Z <br /> E Lo <br /> Note: Oxygenates to include Ethanol,TBA, ETBE, MTBE,TAME, D1PE m CID °��° X o o i? Lu _� "' _a �°� <br /> G Lu <br /> 0 + n r l6 dl IA. 0 <br /> m + r LL E m N d a o <br /> {6 w w is U1 c b rn an v N ay J <br /> M in J O W M d = U U = d <br /> Detection limits: TPIic=50ppb, BTEX=0.5ppb, MTBE=0.5ppb, DIPS=t.Oppb, ; `o m N a m _ z o o a x a LL <br /> iE <br /> ETBE=1.0 b TBA=2() b Ethanol=l 00 b 0 _ " d ' ' ~ 8 w <br /> LL <br /> a w X a w C 4 Z 0 O O O O O m <br /> LA$ SAMPLING MAT- NO,OF w W V m fZ >Z C C C. a t <br /> os , Field Sample Identification �o�. a s d d W <br /> 1)U Y DATE TIME RIX m CO > I_ LL ffl > > > <br /> :. :' 1-1 00( IZ/ 1P& ?o v X x x <br /> H,,,,en <br /> A-1 X X X <br /> B-1 X x X <br /> E-1 <br /> x X X <br /> Ei3�.,4:igop <br /> gad`'i I <br /> " 3s <br /> Relinquished by.(Signature Rec ed by:(Signature) Date: Time: <br /> Relinquished by:(Sign ture) ! ` Re Ived c(Signa e) pate Time: <br /> _411A 8— <br /> ilL <br /> Date: Time: <br /> Reloquished by:(Signature) calved by:( nature) <br />