Laserfiche WebLink
• 4 t 1��N J J ti ❑ 819 Striker Ave�ite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921- <br /> X N Wig et L Walnut Creek�CA 94598 • (925) 988-9600 FAX (925) 988-967 0 <br /> U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> TOSCO <br /> ❑ 1551 Industrial Road • San Carlos,I,CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> -� Consultant Company G,,� =h (yo g o Protect Name IIS ' `To+ ��1 <br /> 300 1 r,ec / / 7 <br /> Address G� 'L 5; c��'� C� 5�,, TV TOSCO Erigineer (required) per, <br /> City T)v b 11 State CA Zip Code °1'YSCA 1 Wzo <br /> TelephoneC�Z S SJ-�S-r` �rSS FAX # 9-Z r Ste/-,�$d$ Site #, Cityl'State9 �,,4� E <br /> TD <br /> Report Tom Sampler �k✓ { OC Data �Wevel D (standard) ❑ Level C L) Level B U Level A U <br /> Turnaround 10 Work Days U 5 Work Days U 3 Work Days ❑ Drinking Water Analyses Requested <br /> a <br /> Time U 2 Work Days U 1 Work Day U 2-8 Hours ❑Waste Water <br /> I GA <br /> CODE: ❑ Misc l etect U Eval U Remed U Demo[ U Closure *Other <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 a 3s-w f[ l a�oS µzo 3 vcxo S 01 A- X !I <br /> 0 <br /> 3 <br /> 4 <br /> 5 �E <br /> 6 'I ' <br /> 7 <br /> 8 <br /> 9 ;I � <br /> 10 Cr <br /> U) <br /> Relinquished By Date / / Time /8� Received By�I Date Time , <br /> Relinquished By Date Time Received By Date Time <br /> i <br /> Relinquished By Date Time Received By Date Time <br /> Were Samples Received in Good Condition? U Yes U No Samples on lce? U Yes O No Method of Shipment Page_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 If no, what analyses are still needed? <br /> 2)Was the report issued within the requested turnaround time9 U Yes U No if no, what was the tumaroundl time? <br /> Approved by Signature Company Date <br />