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1 X680 Chesapeake Drive•Redwood Cily,CA 94063•(415)364 9600 U 10939 QUO live N F Sime 101 •r3ullseil WA 98011 •(7(IG?'1111 WOO <br /> 1 UNOCAL <br /> fD <br /> U 819 Striker Ave,Suite 8•Sacramento CA 95834•(916)921 9600 U r1s1 1 1 1 15 Mulligoineiy Sime U•Spokane WA 99J06•(509)91 1 W00 <br /> 0 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Shite 110•Portland On 97222•(503)624 9800 <br /> i <br /> Consultant Company Protect Name <br /> Address _ � UNOCAL Project Manager <br /> City 5;17 U ,� State �,,F Zip Code 9 ��U AFE 4 -Ix}_ ,))7 ��; � <br /> LD <br /> Telephone FAX 4t Site It, City, State 0 � z ; ;��r✓ r��.� <br /> Report To J�a.F f+>!/I T/v am Sler � ,� ✓ "� QC Data Level D (Standard) FJ Level C 1:1 Level B 17 Level A ` c� U� <br /> I � <br /> Turnaround 'NV10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water [Analyses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Da ❑ 2-B Hoursa"r <br /> ❑ Waste Water , �vJ v�r10 <br /> CPDE: ❑ Misc ❑ Detect XEval IJ Remed ❑ Demol ❑ Closure X Other <br /> Client Date/Time Matrix #of Cont Laboratory l�' 4 11t'u <br /> Sample I D Sampled Desc Cont Type Sample# /`` ��' }�(°� Comments <br /> yl <br /> ' 1LZ-G l <br /> -,7 �m <br /> 77 Y 0 <br /> 2 �G ilk /Z �7� SS L- r o <br /> ro <br /> 3 j Sr J <br /> 0 <br /> s 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 0 <br /> 110 <br /> 0 <br /> 0 <br /> Rs <br /> Relinquished By ,,Date /1- Time ' Received B Date Time /.3 ' <br /> Relinquished By Date I y xg 1, Time ,r Received B S.11 -T Date % Timp,/ <br /> Relinquished BJJ4Date <br /> L'& Time Received Bv Lab( -. r �' Date �� Time <br /> Good o ltl n?❑Yes❑ No Samples on Ice? ❑Yes U No Metho of Shipment Page of <br /> Were Samples Received& _ <br /> 1 <br /> To e compete upon receipt o 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 th report issued within the requested turnaround time?AYes No if no,what was the turnaround time? --- <br /> _/°�Cr- -- --k -----Date ! 2S1 <br /> "E Approved by � . /W-- 0tL Signature �v• _ _ _ _Company ___ <br />