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Q480 Chesapeake Drive•Redwood City,CA 94063•( 4-9600 Q 19939 120th Ave.,N.S.,Suite 101•Bothell,WA 98011•(206)4W <br /> � ❑ 819 Striker Ave.,Suite 6•Sacramento,CA 95834.(991 6)921-9600 O East 11715 Montgome ry,Suite 8•Spokane,WA 99206.(509? <br /> 924-9200UNO Cflmmqwv 0 <br /> 1900 Bates Ave.,Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S.W.Sequoia.Pkwy,Suite 110•Portland,OR 97222-(503)624-9800 ; <br /> Com an Name: , , I ���,J Project Name: loo - ��7 <br /> Address: -7-,t P �.��!-�ti ��Cr{ :So►1` S��;lf.) UNOCAL Project Manager `. o 1 {� <br /> r�.� G <br /> C /� - <br /> Zi Code: / Release <br /> City: t OS P State: C <br /> Rip Code: <br /> Tele hone: ' 0( 'Iql _ f c� FAX# ��r�/�. Site#: ( , 7 c� <br /> P _ <br /> ,Report To: /�J"� �� L�'r� JSampler:( F'- fr�c (� �'-�j- � QC Data: L1'Level A (Standard) f.7 Level B ❑ Level C [.i Level D c <br /> a <br /> Turnaround ID'-f6 Working Days ❑ 2 Working Days ❑ Drinking Water JAnalyses Re nested <br /> Time: ❑ 5 Working Days ❑ 24 Hours ❑ Waste Water X1/4." <br /> ✓ X Lr <br /> ❑ 3 Working Days ❑ 2 -8 Hours ID-other <br /> Client Date/Time Matrix #of Cont. Laboratory <br /> Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample# '� �ti r� ,�'� c-r� <br /> go 57 <br /> X Y ° <br /> T- <br /> 3. ,n..r? �• Y <br /> V. <br /> 5. <br /> 6. <br /> r •I ° <br /> l ° <br /> / r r� I 1 .)� Time: C , <br /> Relinquished By: ('O.rT �tY fi 1+f. " , Date'. ++1!f ' Time:. : +- Received B '1: 1 ( Date: , <br /> � LA <br /> Rnquished By: <br /> Date: <br /> � Time: I r`iReceived By:(" . DateTime: < t, <br /> � <br /> Relinquished 8 Date: � Time: <br /> I� l� Received Lab. Date:9 Time: 14 O <br /> . <br /> Were Samples Received In Good Condition? Yes❑No Samples on Ice? s❑Na Method of Shipment Page L of <br /> I <br /> o completed upon receipt of report: <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑No If no,what analysestare stili needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes❑ No If no,what was the turnaround time? <br /> Cam an Date: <br /> AnnrnvPCt t1V: _ __ Signature: P Y� <br />