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f, w � � � ti• i• � � � � f• <br /> New <br /> • UN <br /> TOS C o I��Gti t k ' 4S G60 Chesapeake Drive•nedwood City,CA 94063•(415)364 9600 u 18939 120117 Ave,N E,Suite 101 •Bvihell WA 98011 •(206)481 9200 <br /> � � J 819 Striker Ave Suite 8•Sacramento CA 95834•(916)921 9600 U East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924 9200 <br /> V U 404 N Wigei Lane•Walnut Creek,CA 94598•(51o)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Porlland OR 97222•(503)624 9800 <br /> LI 5 1 <br /> Consultant Company uC . Project Name <br /> Address S • y q UNOCAL Project Manager <br /> City - S� State 5107 Z7 -Z 335 <br /> CI Zip Code AFE tt <br /> Telephoned -�I - T�o() FAX H -753 Site #, City, State 8 p <br /> U <br /> Report To a N P/f,' CIP1 ISampler �f t11 att JQC Data TLevel D(Standard) ❑ Levet C ❑ Level B ❑ Levet A <br /> Turnaround B Work Days ❑ 5 Work Days IJ 3 Work Das a- <br /> " y ❑ Drinking Water Anal ses Requested <br /> Time ❑ 2 Work Das IY1 Work Day U 2-8 Hours0 Waste Water ` <br /> CODE. U Misc ❑ Detect lEval ❑ Remed ❑ Demol ❑ Closure 0-10ther <br /> Client Date/Time Matrix ti of Cont Laboratory <br /> •� 4 �'� r`� fr ll <br /> Sample I D Sampled Desc Cont Type Sample ti <br /> Alibf' Comments <br /> 2 r �;3c ti k (TJ <br /> 31�7 - R zs Jirtc - _0 <br /> 4 T x A <br /> 3s sr in a 5 <br /> S�r1a fir► Cc O <br /> )ya <br /> 6 ;LS �� } <br /> WOO pcS IN TAT q'z(00 <br /> t3 � I� <br /> t lead 567cfIh, <br /> 19� #e r 1i <br /> Tr­r- <br /> .10 <br /> 0 <br /> ro <br /> 4 <br /> 0 <br /> Relinquished By Date Received By <br /> Date fJ Time /z i"_3 <br /> J <br /> Relinquished B � !/ � <br /> q y e. 6- -- Date d f}? Time /3f`r Received B r <br /> Dale Time � <br /> Relinquished B Time Received By Lab I Date?&( Time 13 <br /> Were Samples Received in Good Condition?U Yes 13 No Samples on Ice? D Yes❑No MethoShip 1t` Page_of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? LI Yes G No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? 0 Yes Ll No If no, what was the turnaround time? <br />