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i ❑ 680 Chesapeake Drive•Redwood City,CA 90(415)364-9600 ❑ 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 481-9240 <br /> •Sacramento,CA 95834. 918 921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206� 9)924-9200 <br /> O C A L D ❑X619 Sulker Ave,Suite 8 Sa ( ) <br /> ❑ 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 ❑ 15065 SW Sequoia Pkwy,Suite 110•Portland,OR 97222•(5Q9)624'9800 <br /> [Address <br /> onsultant Company 6,owdr, l� c� �hG �i�� ZBaa`o* Project Name Far►A„er e/n C"/ sS Ak6 /Z 3 <br /> b-}`f� S C. y S � �' T UNOCAL Project Manager �, �a <br /> City buh on• State. (ZAX Zip Code ?(IS'(*S AFE#. <br /> ai <br /> Tele hon LS 5S — 5'S.� FAX e& S'97— q Site#,city, State /p rra cUU <br /> l,. Sam ier <br /> Report s1r /4.g 0C Data evel D Standard ❑ Level C ❑ Level B ❑ Level A c <br /> To a <br /> Turnaround 10 Work Days ❑ Work Days ❑ 3 Work Days ❑ Drinking Water Ana! ses Re uested <br /> Time: ❑ 2 Work Das ❑ 1 Work D4y ❑ 2-8 Hours 91 Waste Water <br /> CODE: ❑ Misc ❑ Detect. ❑ Evai ❑ Remed ❑ Demoi ❑ Closure ❑ Other `0 <br /> Client Date/Time Matrix #of Cont. Laboratory A� �� <br /> Comments <br /> Sample I D Sampled Desc Cont. Type `D <br /> V o A � <br /> IV 5 Ll <br /> 3 •� �tqd tdl-nr Ct 1 <br /> 3 <br /> 4. U , D`( K <br /> U <br /> B. U ,, ..� d <br /> 7. LA <br /> 8 <br /> 9 0 <br /> 10 <br /> g <br /> Relinquished By "t Date Time• Received B Date Time ~_ <br /> All m <br /> Relinquished By Date Time Received B Date Time Z <br /> elin ish d B Date Ti Received B Lab- Date Ime <br /> Were Samples Received in Good Condition?❑Yes❑No Samples on ice? ❑Yes❑No Method of Shipment Page_ of <br /> o e comp eta upon receipt o 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? 0 Yes❑No If no,what was the turnaround time? <br /> Approved by Signature Company Date <br />