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Bush c wast Stroe�7trsity i Wi�oulo� <br /> ' Suite 1700 Suite 102 Suite 130 Smte 480 1J Suite I ` <br /> Environmental San Francisco Oakland, Sacramento, Los Angeles Clearwater <br /> s Science California Caldomra Californta California Florida <br /> ESA Associates 94104 94607 95825 90010 33762 <br /> (415)896-5900 (510)839-5066 (916)564-4500 (323)933 6111 (727)572 5226 <br /> Company Name Project Name <br /> _ _ r c► s Sic t�� — ?__cam Q�5 Z _ ----- <br /> Mailing Address Billing Address (if different) - <br />' Crty S--E Blate /:� <br /> o e <br /> Telephone FAX# PO <br /> !�t58�60332 _ <br /> Report To ? .. Sampler---'En 4- OC Data Level D (Standard) U Level C tU Level H U Level A- <br /> l 'Runaround U 10 Working Days U 3 Working Days U 2-8 Hours U Drinking Water rAnalyses Requested <br /> Time U 7 Working Days ❑2 Working Days CI Waste Water / <br /> 5 Working Days ❑24 Hours U Other <br /> a <br /> Client DatelTime Matrix 0 of Cont w % Comments <br /> Sample I D Sampled Desc Cant Type Sample# �� <br /> 2 42290 <br /> 3 <br /> 4 <br /> 7 <br /> 9 -- ---- <br /> 10 <br /> Relinquished By Date 7op Time If o i Received By -,JRDate�/7 ; Ttme <br /> 6 <br /> Relinquished By Date `�' Time Received By _ Date Time <br /> Relinquished B Date Time tCab Date z 7 Time <br /> q y lvG'�' /i� <br /> Were Samples Received in Good Condition? U Yes U No Samples on Ice? U Yes U Na Method of Shipment___ __� _ Page _ of <br />