Laserfiche WebLink
�}ft3 680 Chesapeake Drive•Redwood City,CA 94*15)364 9600 ❑ 18939 1201h Ave,N E,Suite 101 •Bothell,WA 98011 •*811 9200 <br /> UA L (D '❑ 8 19 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921 9600 ❑ East 11115 Montgomery Suite B•Spokane,WA 99206•(509)924 9200 <br /> ❑ 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624 9800 <br /> Consultant Company t��c��1c Eru���o�r+ rrL G�>ouP t,Jc Project Name 103 r <br /> � r�x-7 r~At* AVF_ C.1 r r r, ST, <br /> Address 2 Y r->[.\cC 5�1-7-E (-tq0 UNOCAL Project Manager K-1jr ? G1, <br /> City 5A�J J05r- State CA Zip Code q 5 1 t O APE# P46 pf�eT 310-057 13 <br /> m <br /> Telephone 60'1) yyj-?So0 FAX# (A402) Ltq f_-715-317 Site#, City, State 5 IzJlcE-S-A-r1o0 o t23 , -nz,,c y-', cA v <br /> Report To �'�t i21�'� Sam ler -7-7 M fZ, 7!> QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround ❑ 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water lAnalyses Re uestedl a <br /> Time ❑ 2 Work Das &1 Work Day ❑ 2-8 Hours ❑ Waste Water - � V <br /> CODE: ❑ Misc ❑ Detect UlEval ❑ Remed ❑ Demol ❑ Closure 0 Other L�7yof <br /> Client Date/Time. Matrix #of Cont Laboratory GO & <br /> Sample I\D Sampled Desc Cont Type Sample# . t,'`v,f` Comments <br /> 1 5 P- I (A-t`,i 12-102146 So it Ll1� S" �� x co►+? I> 1 <br /> 2 <br /> 0 <br /> .ra <br /> ro <br /> 3 J <br /> 4 ;il <br /> 0 <br /> 5 <br /> ti <br /> 7 �- <br /> 8 <br /> 9 <br /> 10 p <br /> �n <br /> 0 <br /> ns <br /> Relinquished By -r�.-„ x�, - Date t2lo 3r,� Time 17- I aReceived B Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By I Date ITime Received By Lab u" o P Date "3-�.O Time 1'2 6 <br /> Were Samples Received in Good Condition? El Yes O No Samples on Ice? Yes❑ No Method of Shipment Page # of I <br /> To be completed upon receipt oi report <br /> 1) Were the analyses requested on the Chain of Custody reported? XYes❑ No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? UYes O No If no, what was the turnaroun time? ,w <br /> Approved by In�� ;Y�_ Sinnature IN 0-61 "11-00,11 rmmnnnv ��-� 1- 'V. Data few <br />