Laserfiche WebLink
X1.1/ll[II!\.IIGJUFIGpnGLIIYG -IIGlYYUUU1�11Y.IrA V4UVJ, `'YtopNUI.VVUV <br /> 219 Striker Ave.,Suite 8•Sacramento,CA�4•(916)921-9600 O East 11115 Montgomery,Suite B•SpoKane,WA uu ov)d24.92uu <br /> UNOCAL19 V-U '1900 Bates Ave.,Suite LM•Concord,CA 94520•(510)6a6-9600 O 15055 S.W.Sequoia Pkwy,Suite 110-Portland,oR 97222•(503)624-9800 <br /> Company Name: / �Yf --~ G` C 4!:57111e ,..7w , Project Name: <br /> Address: 4qll hL1101110Y AR1412� i SyL _k L UNOCAL Project Manager: <br /> City: 14)WState: Zip Code:C f)Z-.L Release#: <br /> l D <br /> Telephone: y3 6r� <br /> FAX ff: �� 3l Site #: ' VLeV/_e11 <br /> Re ort To: r�d�' / � Sam ,4fa�� N r 0"� QC Data: D (Standard) ❑ Level C ❑ Level B ❑ Level A c <br /> Turnaround '�10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal ses Requestedl LL <br /> Time: ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours �Waste Water ` �y <br /> CODE: ❑ Mise. ❑ Detect. ❑ Eval. ❑ Remed, f Demol.❑ Closure 00 th e r �a ,`0�IkA� <br /> Client Date/Time Matrix #of Cont. Laboratory <br /> �ySample I.D. Sampled Desc. Cont. Type Sample 1t `` Comments <br /> 1. 7 L 1'A9S' 1� 7� t� <br /> 2. �° r <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> e. <br /> 9. <br /> 10. <br /> Ell <br /> Relinquished By: 4 ,4 Dale. ` Time: LV Received By: Dale: Time: <br /> Relinquished By: Date: Time: Received By: Dale: Time: <br /> Relinquished BV:--- Dale: Time: lReceivedB Lab:. Z � Dale: 1. Time: <br /> I ' <br /> Were Samples Received in Good Condition?( Yes U No Samples on lce? �fYes❑No Method of Shipment_��__ _ Page_L of <br /> To be completed upon receipt of report: 1��`` '' " <br /> 1) Were the analyses requested on the Chain of Custody reported?hoes t:.! No If no, what analyses are still needed? — --------- ----- { <br /> 2) Was the report issued within the requested turnaround lime? t es iA No If no, what was the lurnaround time? --- -- 1' <br /> Approved by: Signature: -w__–_ -._--___- ---Company: _ .Date: <br />