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❑ 680 Chesapeake Drive•Redwood City,CA 940915)364-9600 ❑ 18939 120th Ave.,N.E.,Suite 101•Bothell,WA 98011 - 81-9200 <br /> UNOCAL 819 Striker Ave.,Suite 8•Sacramento,CA 95834-(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206•{ 924-9200 <br /> D 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: -r ��� Project Name: qll--0//. <br /> Jt- <br /> Address: 13 js Q UNOCAL Project Manager: IDA <br /> City: AState: Zip Code: AFE#: <br /> C <br /> CD <br /> Tele hone: <br /> /!a 3 u FAX #: gJ Site#,City, Slate: <br /> Re ort To: /Z / E� Sam ler: CC Data: 13 Level D Standard ❑ Level C ❑ Level B IJ Level-A_._._` <br /> Turnaround ❑ 10 Work Das ❑5 Work Das ❑ 3 Work Das a <br /> Y Y Y IJ Water Analyses Re uested <br /> Time: 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc. ❑ Detect. ❑ Eval. ❑ Remed. ❑ Demol.❑ Closure ❑ Other �Q <br /> Client Date/Time Matrix #of Cont. Laboratory <br /> Sample I.D. Sampled Desc. Cont. Type Sample# Comments <br /> 1 g-� ►c, i fouls,-01 a <br /> ear I Q <br /> (D <br /> 5. 'Z SSI-a >_ <br /> 6. _a <br /> Ba <br /> 0 <br /> ,0. <br /> Relinquished By: te: r1 Time Received B Date: y-p- Time:of z , <br /> (D <br /> Relinquished By: Date:V f Time• Received By: Date: �2L <br /> Time: Z:Relin wished B : Date: Time: ved B ReceiLab: Date: Time: �" J <br /> Were Samples Received in Good Condition?©Yes 0 No Samples on Ice? 0 Yes 0 No Method of Shipment Page_- of <br /> o e completed upon receipt a report. <br /> 1) Were the analyses requested on the Chain of Custody reported? 0 Yes 0 No If no,what analyses are still needed? <br /> 2) Was the report issued within the requestt3d turnaround time? 0 Yes 0 No If no,what was the turnaround time? <br /> Approved by: Signature: Company: Date: <br />