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U 680 Chesapeake Drive-Redwood City,CA •(415)364 9600 LJ 18939 120th Ave,N E Suite 101 •Bothell WA 98011,1"Q6)481-9200 <br /> U CAL 819 Striker Ave,Suite a•Sacramento CA 90.(916)921-9600 U East 11115 Montgomery,Suite 8•Spokane,WA 992 9)�324-920d <br /> U 404 N Wiget Lane-Walnut Creek CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> [Address <br /> onsultant Company Gt'� _ Project Name <br /> 31 G4 C7 II �,,w V .-, Z UNOCAL Project Manager $ <br /> City as Cir State CA zip Cade qi6 76 AFE# <br /> C <br /> Telephone 1 631—1 I l UO FAX # '114 ' 631- 131-7 Slte#, City, State d 12 3 l�.0 <br /> Report To � <br /> U <br /> V J l erzfz Sam ler DG"'t� �4erze,5 QC Data ❑ Level D (Standard) ❑ Level C Q Level B LJLevel A c <br /> a <br /> Turnaround ❑ 10 Work Days 'X5 Work Days ❑ 3 Work Days C] Drinking Water lAnalyses Re nested t nC e fjt � <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE 1-3 Mlsc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other <br /> sy t t3� <br /> Client Date/Time Matrix #of Cont Laboratory Comments 1 <br /> Sample 1 D Sampled Desc Cont Type Sample# <br /> 1 - - i -12-crD to x,11 1 cj -vf ?< K X ° <br /> `- , ff'' � Y 0 <br /> 2 �j - 5 r Yv 1.12�1�AD IIAa W `�' x x /` X N <br /> 4n _ 5 Q 1-1Z-Ub 'I o �1I I �e L <br /> l7 v <br />,3 5 VJ I IP -u S <br /> 7 <br /> 8 <br /> 9 �. <br /> 0 <br /> 10 <br /> 0 <br /> m <br /> Relinquished By Dale � 2 0D Time P 20 Received B Date/ Time av(> J <br /> Relinqutshed By L Date/ z Time �_5 Received B ale`�26 Time <br /> k <br /> Relin wished B Date Time Received By Lab 1.Date Time <br /> Were Samples Received in Good Condition?/yes to No Samples on Ice? /Yes[-JNo Method of Shipment=�fLlOy _ Page of} <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? 1-1 Yes IJ No If no, what analyses are still needed? - - - <br /> 2) Was the report Issued within the requested turnaround time? 1-1 Yes IJ No It no, what was the turnaround time? - <br /> I Approved by Signature Company Date <br />