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of <br />Date DueI <br />CT <br />x NOTES: <br />Cell <br />Stockton <br />Date Time Matrix Contain. Size4 Preserv.Qtv. <br />X X X <br />CTX <br />x <br />] Site Mgr.Tel#[ <br />Received By: <br />Relinquishe, <br />Received By: <br />Relinquished By: <br />IS, I <br />Received By: ■Date Time6/11/2010 <br />Package <br />Job No. <br />Full Name <br />Mr. Kevin Dejesus <br />Sample Source <br />AT&T - 2300 E. Eight Mile Road <br />Company <br />Diversified Pump & Well <br />"Z" <br />CD <br />U) <br />O <br />CO <br />CD nz <br />-Q <br />Q_ <br />"O <br />O <br />cn < <br />< <br />CM <br />c5LQ <br />Time o <br />7/^ <br />Time <br />Date <br />] <br />] <br />O <z> <br />o <br />X <br />6 <br /><Dm <br />ro <br />CO <br />-O <z> <br />Csl o z: <br />co o <br />u~ <br />X <br />3 <br />O <br />TZ> <br />O <br />o <br />o O <br />O o Temp, at Lab -°C <br />Total No. of Containe s <br />Rec'd Good Cond/Co d <br />Conforms to Recoi d <br />Sampler <br />matrix ~ <br />DW - Drinking Water <br />GW - Ground Water <br />SW - Surface Water <br />WW - Waste Water <br />Water <br />SL - Sludge <br />S-Soil_______ <br />ABBREVIATIONS <br />HB - Hosebib <br />PV - Petcock Valve <br />PT - Pressure Tank <br />PH - Pump House <br />RR - Restroom <br />GL - Glass <br />' PL - Plastic <br />ST - Sterile <br />TimeRelinquished By: <br />1100 Willow Pass Court _ <br />Concord, CA 94520-1006 R <br />9254622771 flEl I \ O <br />Fax: 925 462 2775 iWila D a I y t i C 3,1 <br />naMS.mpM <br />J <br />ANALYSIS <br />Date / <br />Date i <br />— <br />Schedule Llune. <br />AnalyteCZ <br /><Z)< m <br />□z <br />CL <br />oLU <br />8 <br />Q. <br />QJ< I— <br />X <br />Site IVIar.1 <br />Site Access L <br />Emer. Namel iMichael Rivera (Shawl <br />Emer. Name 2 I <br />Emer. Name 3 I________________ <br />Emer. Name 4 I________________ <br />Emer. Name 5 ‘See file <br />~l Cell# | <br />1 <br />Emer.Phone! 1916 591-3161 <br />Emer.Phone2 I <br />Emer.Phone 3 I____________ <br />Emer.Phone 4 I _______ <br />____________EOT r <br />Agency ISan Joaquin GoimhcEHsJ Agency #1209 468-0335 fs71 Fax#1299 468-9341 <br />KI <br />•p <br />— CD o □= <br />CD o o < <br />SAMPLE RECEIPT <br />Lab No. Sample I.D. <br />nm Hosebib at Well <br />Chain of Custody <br />I <br />I tCU#| 12383 | <br />Phone 925 584-9276 <br />Fax 925 679-0731 <br />DW<Xoo PI 950mL HNO3 2 <br />DW GIA 250mL Cold <br />DW V-Clr 40mL HCI 2 <br />GenerabW <br />IA J/L