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i <br /> ll�i J J U U 819 Striker Avite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921- <br /> X404 N Wiget L •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-967 <br /> TOSCO U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Consultant Company C-A-411cr __RY ZR[ 4/o/g 9,dy Project Name A-3-Yr Tracy D LVO To iolf}poo t l <br /> Address ('� �y S� erva C Suti �� 3 TOSCO Engineer (required) laZS Co.Ys +(re <br /> City l� 1 i r State ,<h Zip Code 9ysIrsW l le-2 2 <br /> Telephoner FAX # y.� S_SSt_�SBg Site #, City, State yc� ac (=,4 <br /> Report To Do L Sampler r� OC Data ALevel D (standard) U Level C U Level B U Level A U <br /> �c <br /> Turnaround )L10 Work Days U 5 Work Days U 3 Work Days U Drinking Water Analyses Requested] a <br /> Time U 2 Work Days U 1 Work Day ❑2-8 Hours ❑Waste Water �\ ���o� Q;AP, <br /> ��S\ eAQP �P i <br /> CODE: U Misc ,Detect U Eval U Remed U Demol U Closure )(Other a o\ 4oa <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample # �Q�` 01`�� ���� �Q�` �o�a` ��� Comments <br /> 1 OBS_ 112111Zlot 14ze> 3 Vb,4S 0IA—C- <br /> X x x cn <br /> 0 <br /> 2 Mw-Z D'Z XCY <br /> 3 Mw-3 v X rn <br /> x x 3 <br /> 4 Mw`� <br /> m <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> m <br /> r1 rn <br /> Relinquished By Date Time b 10 Received y Dat �3 0l Time�g U �, <br /> .c <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Were Samples Received in Good Condition? U Yes U No Samples on Ice? U Yes U No Method of Shipment _ Page 1 of <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chain of Custody reported? U Yes U No It no, what analyses are still needed? <br /> 2)Was the report issued within the requested turnaround time? U Yes U No If no, what was the turnaround time? <br /> Annrnvarl h%i Qinnnfirro f mmMnr,- n-f- <br />