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�� L,iie�euE�uvy�� -- {k 1♦ Il! t♦ tl♦ tl♦ <br /> U 819 Striker Ave,Suite 8•Sacramento CA 95834. 91if( <br /> -9600 U East 11115 Montgomery Suite B•Spokane WA 99206 <br /> UNOORL4FU 404 N Wiget Lane•Walnut Creek,CA 94598•(510)980 U 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)Jroo <br /> l�I r 511 <br /> E <br /> Consultant Company Z ,1 nv 61T'1tn Project Name !j -1q <br /> Addressk- et �' UNOCAL Project Managerti- <br /> City State Zip Code S / AFE # <br /> m <br /> Telephone L ()�� FAX # r Site#, City, State 13 P <br /> Report To N 1 Sam ler ��, /�! QC Data l 'Level D (standard) FJLevel C ❑ Level f3 eveI A c <br /> iz <br /> Turnaround 1410 Wor Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Re u sted $Da-`1�5 <br /> Time ❑ 2 Work Das ❑ i Work Day ❑ 2-8 Hours FJ Waste Water _ <br /> iy <br /> CODE. IJ Misc J Detect li:f Eval I] Remed IJ Demol IJ Closure 'Other D� <br /> Client Date/Time Matrix # of Cont Laboratory ' <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample# ,� 9 <br /> I 2!1 <br /> 0 <br /> NIV - zo �y yes xi <br /> J <br /> a <br /> 5 rrtc P <br /> 6 c <br /> 7 <br /> i a <br /> 9 0 <br /> i0 <br /> a <br /> Relinquished By Date ' Time Received B ?tom ,cam-- Date Tlme �= <br /> m <br /> Relinquished By Date ? ) ly Time e"355' Received 13 m <br /> E <br /> Relin ulshedB Time Received8 Cab DateTtme /3 <br /> Were Samples Received in Good Condition?IJ Yes IJ No Samples on ice? ❑Yes FJ No Method of Ship n Page_of <br /> Abe completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? {J Yes U No If no, what analyses are still needed? <br /> Was the report issued within the requested turnaround time? IJ Yes 1:1 No If no, what was the turnaround time? �__-_-�-- <br /> ed by _ _ _ _ _ _ __ Signature _ _ Company Date <br />