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�r � <br /> ' Mr680 Chesapeake Drive•Redwood City,CA 94063.0364-9600 O 18939120th Ave..N.E.,Suite 101•SOW,WA 98011•(206)*00 <br /> UNOCRL (D ❑ 819 Striker Ave.,Suite 8•Sacramento,CA 95834 a(916)921-9600 ❑ East 11115 Montgomery,Suite B P Spokane,WA 99206•(509)924-9200 <br /> Q 1900 Bates Ave.,Suite LM•Concord;CA 94S20-(510)686-9600 0 15055 S.W.Sequoia Pkwy.Sufte 110•Porthnd,OR 97222-(503)624-9800 , <br /> Company Name: -J Project Name: (,� p { BJ /C) - <br /> C11 4!5Ny1 '4iyY�i Al ibg �? <br /> Address: NO(("P '10 f ( Cb UNOCAL Project Manager: h W Q <br /> City: tate: C Zip Code: Release#: <br /> �1l a= <br /> Telephoner !7'iT1'7-SK/0 FAX#: Site#i: Q U <br /> r -�J <br /> Repo To: C( bod\0 Sam ler: �(Cx O QC Data: M-el A(Standard) 13 Level B ❑ Level C E) Level D c <br /> a <br /> Turnaround Urfo Working Days ❑2 Working Days ❑ Drinking Water lAhaiyses Re uested <br /> Time: 13 5 Working Days ❑24 Hours Waste Water ,t <br /> ❑ 3 Working Days ❑ 2.8 Hours l Other <br /> Client Date/Time Matrix #of Cont. Laboratory <br /> Sample I.D. Sampled Desc. Cont. Type Sample# Comments <br /> 1 -� --- ,� SD +� 1 a x n Y, b i+ <br /> !, K K o <br /> 2. �. s <br /> 5• 7-P-? r- ' x x <br /> s. <br /> 10. <br /> 0 <br /> 'j Time: '9 <br /> Relinquished By: <br /> Date 9 Time:�i� Received Date: , <br /> /U. l Date: / � Time: J i <br /> Relinquished By: Date: - l Time: Received B � w <br /> Relinquished By:3�9& Date: Time:�l• Received B Lab: Dater 1 Time: 1/0 0 <br /> Were Sam les Received in Good Condition? s QNo Samples on Ice?�os 0 No 'Mbthod df Shipment Pagel of <br /> p <br /> To be completed upon receipt of report: <br /> 1) Were the analyses requested on the Chain of Custody reported? 0 Yes O No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? 0 Yes Q No if no, what was the turnaround time? Yr <br /> A.n, nAonr+ hir _ Signature: Company: Date: <br />