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Lab Name: SE&,\j n EQUIVA Services LLC <br /> CHAIN OF CUSTODY RECORD <br /> Lab Address: Rc re) LU rA f� Company Contact(s)for Invoice: INCIDENT NUMBER DATE: 0 <br /> PAGE: <br /> TEL: FAX: Technical'Services 9 8 9 5 8 7 4 --CF <br /> ECIUIVA PROJECT CONSULTANT(Name and Company): SITE ADDRESS- <br /> Owen Ratch e-Cambria Environmental Technology, Inc <br /> ADDRESS- 341 East Main Street, Ripon, California <br /> 6262 Hollis Street EOUIVACONTACT: CONSULTANT F90JVCT NO.c <br /> CITY: Karen Petr na Q 242-0324 <br /> Emeryville, California SAMPLER(S):(SI TUR LABusEWLY <br /> TEL FAX: F-MAIL aratchvef nn <br /> 510 450-1984 510 450-8295 cambria-env.com n`^-'0�0000 <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> 0 10 DAYS F-15 DAYS [] 72 HR ® 48 HR E] 24 HR 0 Q4 HR REQUESTED ANALYSIS <br /> 0 LA-RWOCB REPORT FORMAT UST AGENCY: San Joaquin County <br /> m o .. <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL N m 0 ML <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) w v o itM s 0 <br /> m z to 0 5 0 <br /> (f-1 Dtu os—m.3Go) ,n c m t N i z <br /> Ln <br /> CD <br /> Note: Oxygenates to include Ethanol,TBA, ETRE, MTBE,TAME, DIPS e a > o o o x <br /> _ <br /> N E Ln <br /> Detection limits: TPHg=50ppb, BTEX=0.5ppb, MTBE=0.5ppb, DIPE=1.0ppb, �, m m mcc <br /> W Q o o ` U 0 = d 2 el <br /> w <br /> ETBE=1.0 b TBA=20 b Ethanol=100 b c H v _ o o o LL <br /> a LU U- V p <br /> LAB SAMPLING MAT- NO.Of = = W X .�. d .�.Lul r_ 0 w d R 4 t1 N L <br /> USE Field Sample Identification DATE TIME RIX ccs F F m m > L m > > > > F <br /> ONLY <br /> l-ipoj 1 9 2y pD .UD q X X X See note <br /> A-1 —64 X X X <br /> B-1 x x X ` <br /> E-1 COO US x x X " <br /> COOLER I TURE °C <br /> Relinquished by.(Signature) Received by:(Signature) Date: Time: j <br /> Relinquished by (Signa re) Received by:(Signature) Date: Time: <br /> Relinquished by:(Signature) Received by:(Signature) 0, Date: Time: <br />