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U N65FAL / �- r� C r�u t i�a4u b)dtt�0 �89391M Ave�Surte-T -Bothe , 98011•(2 .9200 U 819 Striker Ave,Suiie 8•Sacramento CA 9583 6)921-9600 U East 11115 Montgomery,Suite 8•Spokane WA 99206•(500 4 9200 U 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Icwy,5ude 110•Portland,OR 97222•(503)624 98p0 Consultant Company Project Name F �„ ,, Pt 3t1 - 17y 1114 Address 111 f UNOCAL Project Manager nn City `p e State too. e C-/¢ Zip Code 9S/�(� AFE# Telephone (�! - ]SCJL` FAX # y yyI.71` Site #, City, State 8P � 7 1 �c C � Re ort To ler � , Data Sm Ur Level D (standard) ❑ Level C ❑ Level B ❑ Level A Turnaround ❑ 0 Work Days ❑ 5 Work Days ❑ 3 Work Das y ❑ Drinking Water Anal y sesRe nested 7 °- Time 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours �c F �❑ rite Water �,, CODE. ❑ Misc L) Detect Eval ❑ Remed ❑ Demo! ❑ Closure C Other tr A� (�~ Client DatelTime Matrix #of 1 Cont Laboratory tl Sample I D Sampled Desc Cont Type #Sample �i O� p '� � `� � Comments vc ,•��S A =9P � A P o 2' 6 C X Psi l � I � � (.-.va t� 4 u 3 3 5 0 as 6 7 • c S� 8 9 10 0 is Q Relinquished By , Date ,,Z p� Time Received B ' j — ) An ' r" J Date, ,� � Time 15 ' � Relinquished By (/� Dater �I ��}� Time 6 Received B Date Time Relin wished By ate Time Received B Lab ``�`f% Date 2-11" " Time l� Were Samples Received in Good Condition?❑Yes D No Samples on Ice? ❑Yes IJ No Method of Shipment Page of completed upon receipt of report Were the analyses requested on the Chain of Custody reported? ❑ Yes❑ No If no, what analyses are stili needed? was the report issued within the requested turnaround time? U Yes❑No If no, what was the turnaround time? Signature _ —_---Company t Date