Laserfiche WebLink
N '2 001990 ❑ 819 Striker Av�uite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) y21- U <br /> M4055 <br /> 4 N Wiget •Walnut Creek; CA 94598• (925) 988-9600 FAX (925) 988-96 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (7 } 792-0342 <br /> TOSCOu 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> KyConsultant Company Project NaIIt ixie �, I� "ry G c 1'3 10 <br /> Address G 4 S;u, �, s,_,r4� <br /> Zip Code TOSCO Engineer (required} <br /> City State G,q Sys <br /> S33 <br /> a� <br /> i �L `' � , FAX # �'Zg- ���- '�ggg Site #, City, State t L L g 4 —t'v'a t _ <br /> Telephone q-IS ss�, �5 S <br /> I - I U i <br /> Report To �� Lu Sampler <br /> QC Data `evel D (Standard) ❑ Level C LlLevel B LlLevel A <br /> '� � � <br /> Turnaround ❑ LJ Work Days '0.5 Work Days 3 Work Days U Drinking Water 11 Analyses Requested <br /> Time ❑ 2 Work Days ❑ 1 Work Day ❑2-8 Hours ❑Waste Water I �h, <br /> CODE: ❑Misc D Detect LIEval ❑ Remed ❑ Demol ❑ClosurejOther � 1` <br /> Client Date/Time Matrix # of Cont Sequoia's �eP �1p 0�'\P ��QP� `����� �0��°° Comments <br /> Sample I D Sampled Desc Cont Type Sample # �Q� ai 0�� 4 J° <br /> a V�As o 0 <br /> 1 5--�✓ II c <br /> n <br /> 2 W 2. 1 <br /> 3 AA W- 1� <br /> 4 w-I I } <br /> 5 <br /> 6 <br /> 8 ;� 1 <br /> 9 Cr <br /> I � <br /> 10 >I I <br /> it 41 ul <br /> Relinquished By Dated Time 5 Received By �( Date ATme <br /> Da �Relm wished B ` DateT+me ?jRe ei ed eyq y Relinquished By Date Time Received By Date <br /> Were Samples Received in Good Condition? U Yes ❑No Samples on Ice? U Yes U No Method of Shipment <br /> Page_of <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chain of Custody reported? ❑Yes ❑ No, if,no, what analyses are stili needed? <br /> 2}Was the report issued within the requested turnaround time? Li Yes Ll No ,If no! what was the turnaround time? <br /> _ <br /> Signature Company Date <br /> Approved by <br /> I <br />