Laserfiche WebLink
ttttttllllIllIll >!i!� tttttl�■ moi■ �t�■ A� i� C At�iN OF cUS Y ReCOD <br /> 0 <br /> `des hmerica 2960 Foster Creighton Toll Free 800-765-0980 E)konMobil <br /> C 0 A P 0 A.,F o Nashville,TN 37204 Fax 615-726-3404 '" <br /> Consultant Name ETIC EIINGINEERING Report To Doug Fitzgerald <br /> Address 2285 MORELLO AVENUE Invoice To JENNIFER SEDLACHEK(EXXON MOBIL PM) <br /> City/State/Zip PLEASANT HILL,CA 94523 Account# 3868 <br /> ExxonlVlobil Project Mgr TED MOISE PO# <br /> Telephone Number (925)602-4710 EXT 23 Fax No (925)602-4720 Facility ID# 7-3942 <br /> Sampler Name (Print) Y ,-tti� =+y, s.,_ t z_, Site Address 4444 int PERSHING AVENUE <br /> Sampler Signature City,State Zip STOCKTON, CA <br /> 4 <br /> Preservative Matrix Analyze For <br /> ti <br /> IkE 7 n C3 '4 N <br /> i L - W CDc <br /> W <br /> �7 IV <br /> 357 1902 � � J � 2 O <br /> p R Q� -o J 2 V �n U uvi � [l m m w <br /> N N U y �, m p g ro m a m «� m x ry F- F- dl <br /> (A (17 w oa IT w n. o m cn 3 rn w LU M !a— N <br /> o o m O ca c N v m c9 w T u F <br /> Sample ID 1 Description © F- z 0 0 � °1 = z z i r z o (5 � o �n in o � � a � Q � M <br /> t" RW1 '�(Z tl` Sl iC 6 <br /> X X X X X X X X X X <br /> i t RW2 [ I Zi 6 X X X I X X X X X <br /> 12 RW4 ,t 6 X X X XX X XX <br /> f V1 i3 � ' 6 X X X X X X X X <br /> ''I V2 16 12- 1S 6 X X X X X X XX <br /> 17 V3 IZ 11,3i 6 X X X X X X X X <br /> 1L V4 1� +', 4 6 X 1XI X X X X XX <br /> I ' SW1 !`� �3 6 X X X X X X X X <br /> I`I SW2 6 X X X XIX X XX <br /> ' t UVB-MW1 it, <br /> 10Z, L –6 dx- I X —i X X X X <br /> XX <br /> Special Instructions GLQBAL ID#T0607700019 EDF FILE REQUIRED Laboratory Comments <br /> Temperature Upon Receipt <br /> Sample Containers Intact? Y N <br /> CONFIRM ALL MTBE FLITS 9Y 82806 V�C` i rNE of Headspace� Y N <br /> Relinquished by .4 Date Time Received by Date Time <br /> t 1` j, f U3 <br /> Relinquiski d by Date Time Received by Tes merica Date Time i <br /> 252 PM 0Arrf7nf7 <br />