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1_r 1 � � may, (♦ • <br /> U 680 Chesapeake Drive Redwood Cit CA 94063 (4 649600 U 120 N 101 ell, 11 <br /> IJ 819 Striker Ave,Suite 8•Sacramento,CA 95834•(9 01 9600 Cf East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)000 <br /> _ 7222-,(503)6 � <br /> UNC L <br /> U 404 N Wiget Lane•Walnut Creek,CA 94596•(510)988 9600 U 15055 S W Sequoia Pkwy,5wte 110 Portland,OR 9w <br /> 3 <br /> Consultant Company 17 I i - f/IV �UNe&AkL <br /> Address ,i t L tect Manager <br /> City �,r .`r,�e State CPt Zip Code AFE# <br /> m <br /> �- FAX# �/ `� Site#, City, State lJ P 'i L(L r k r t C A v <br /> Telephone r Er' h r t I - 7 5 t)0 <br /> ,. I G t Sam ler <br /> f QC Data d Level D (S(andard} ❑ Level C ❑ Level B ❑ Level A <br /> Report To r' J, c <br /> Turnaround , l 1t)Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal ses Re nested <br /> ~4 w2 64 <br /> &1 Work Da ❑ 2-8 Hours ❑ Waste Water <br /> Time ❑ 2 Work Das � 1 <br /> CODE- ❑ Misc ❑ Detect ❑ Eval ❑ Remed 0 Demol ❑ Closure U-10ther r <br /> Client Date/Time Matrix #of Cont Laboratory C i `t, R,� •�� Comments <br /> Sample I D Sampled Desc Cont Type Sample# " �'� <br /> r � <br /> l O <br /> 0 <br /> O <br /> ca <br /> �/ i 1 413 Il <br />� 3 � � 3 <br /> 4 <br /> \ 6 ^ I� 1 r7 <br /> J <br /> 7 <br /> 10 p <br /> c� <br /> `' r Time r" . Received B r,� `�° Date ' r,/ Time <br /> Relinquished By -�. Date ; <br /> Time � <br /> �� i'(� Date �I r��� Time �' r�` Received B -� --- - Date <br /> Relinquished By ' r. � i--- _ <br /> Relin uished B - - - Date- -- Time Received B Lab l irr� � Date Time - <br /> Were Samples Received in Good Conditions C)Yes 1:1 No Samples on Ice? U Yes 0 No Method of Shipre t � Page�of <br /> o be completed upon receipt of report no, what — <br /> 1) Were the analyses requested on the es etd�urnaroutld k mei ❑Yey reported? ❑s O No <br /> Yes If t hat was thel(urnayses roundiltime? <br /> needed? <br /> 2) WCha <br /> as�therepo� issued within the req Date <br /> ed bSignature <br />