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• y <br /> J 61111...Peake Drive•Redwood City CA 94063•(415)364 9600 U 18939 1201h Ave N E Suite 101 •Bothell WA 98011 •(206)481 9200UNOCAL (D ' <br /> 'J 819 Straker Ave Suite 8•Sacramento CA 95834•(916)921 9600 U East 11115 Montgomery Suite B•Spokane WA 99246•(509)924 9200 <br /> U 404 N Wrgel Lane•Walnut Creek CA 94598•(510)988 9600 U 15055 S W Sequoia Pkivy Suite 110•Portland OR 97222•(503)624 9800 <br /> Consultant Company 6-7,7711,v art Project Name NO1z111 (f <br /> Address V <br /> UNOCAL Project Manager -� ��� &z'(1 ' <br /> City -1116 IC (Cy c�G'�i State L/� zip Code��(fJG AFE # <br /> Telephone /�-- FAX # 3l X31 <br /> Site #, City, State <br /> Re ort To 692 GGr VS.S <br /> Sam ler t C 1� QC Data ❑ Level D (Standard) ❑ Level C ❑ Level B ❑ Leve!A <br /> Turnaround Y-10 Work Days ❑ 5 Work Days ❑ 3 Work bays ❑ Drinking Water Anal ses Requested a <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE ❑ Misc ❑ Detect ❑ Eval �emed ❑ Demol ❑ Closure 'Other ��� <br /> -' z12ry3 <br /> Client DatelTime Matrix #of I Cont Laboratory t <br /> Sample I D Sampled` Desc Cont Type Sample# 1 Comments <br /> 1 3U zS 1r >j� I o <br /> 0 <br /> 3 <br /> J <br /> 4 <br /> 3 <br /> O <br /> 5 / <br /> Q) <br /> 6 l/ <br /> 7 <br /> 8 <br /> 9 <br /> # 10 <br /> 0 <br /> 42 <br /> 0 <br /> 0 <br /> .fl <br /> Relinquished By Date.7 �9 Tim�i�CYJ Received 8 `J <br /> i ate -' <br /> . z. Time �2 <br /> Relin urshed 8 °= <br /> q Y �� Date ���1 Time Receivee!-B Date Time <br /> f � <br /> Relin uished 8Z Date Time Receive L Date -7t7 j$ Time <br /> Were Samples Received in Good Condition?U Yes❑No Samples on Ice? U Yes 0 No Method of Ship ent Page 1 off <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain o#Custody reported? L)Yes U No If no,what analyses are still needed <br /> `Was the report issued within the requested turnaround times rU Yes 0 No tf no what WaS the trirnarn�rnrl trmn7 <br />