Laserfiche WebLink
u you�iwu �u V - <br /> U 819 Striker Ave,Suite 8•Sacramento,CA 95834)921 9600 U East 11115 Montgomery,Suite 8•Spokane, • <br /> U N O A L ! U 15055 S W sequoia Pkwy,Suite 110•Portland,OR 97222• W4-9800 <br /> ❑ 404 N Wiget i_ane•Walnut Creek,CA 94598•(5i0}988 9600 - <br /> 1 <br /> Protect Name 5 5 # O 1 Z 3 <br /> Consultant Company <br /> Address. 6C� <br /> UNOCAL Project Manager 4th kL b a 17 <br /> State Zip Code ya AFE# <br /> City w I i •� U <br /> 41 C6a-k-ire_ <br /> Tele hone z� <br /> r FAX # :� - Site #, City, State 43 <br /> Sam ler V { ( „ QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Re rt To t Anal ses Requested <br /> Turnaround flo 10 Work Days ❑ Work Days ❑ 3 Work Days I) Drinking Water <br /> Time: ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours (*waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eval U Remed ❑ Demol ❑ Closure 13 Other <br /> Client Date/rime Matrix #of Cont Laboratory \� ryb �� �Q Comments <br /> Sample 1 D Sampled Desc Cont Type Sample# <br /> �t-A 34 —s <br /> 7— r tiC 8 1, S .s: i co <br /> 2 8 21 36 <br /> IL '7 <br /> 21 <br /> r � I Io � g � 3 <br /> 4 y 3 " <br /> 5 �� �- ►�; B 21 9 <br /> 6 r S <br /> t3 <br /> G <br /> 9 R <br /> c <br /> 10 r <br /> a <br /> t- Time ' Leced B � -* Date ti t Time 2 LS ,%,� a <br /> Relinquished By <br /> Date Z �'Z <br /> 011111 <br /> Relinquished By Date 11 Ttme o ed a l ! <br /> Date I / Time 14!o15 <br /> ReltnLuishedB Date r i5 4t Ttme t2 yJ ed B Lala <br /> Date 1 Time <br /> Were Samples Received In Good Condition?U Yes U No Samples on Ice? U Yes 1-1NoMethod of Shipment_ <br /> Page,of <br /> o e comp ete upon receipt o report no, whaty --_- <br /> i) Were the analyses requested on the Chain of Custody reported?Ye Yes o N not what wastheltu turnaround time'? <br /> — <br /> 2) Was the report Issued within the requested turnaround time Company Date <br /> Approved by ��_ —_ _ _ ___ _Signature - <br />