ARCHIVED REPORTS_XR0002001 - Laserfiche WebLink

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P ..st W 68 Chesapeake Driv Redwoody CA 3•W64964 U 1933 120t P ve, N EOM 101WWII,�11 Too( < ,b, I (� lJ N�G A L U 819 Sinker Ave,Suite 8•Sacramento,CA 95834•(916)921 9600 U East 11115 Montgomery,Suite B•Spokane WA 99206-'(509)W200 U 404 N Wigei Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503) 4-9 [if Consultant Company t r__ / Project Name l � �I Address r , UNOCAL Project Manager � , 1/5(p H'1" - ?33S L r n ` City � `r fF StateCA ZipCode cl r; AFE# a Tete hone ' fir" i y f `�C�� FAX# �l "3 Site #, City, State 1`s p Ji 5 Lf Lr L r , C A U OC Data �Level D (Standard) ❑ Level C ❑ Level B ❑ Level A c Report To lr c� ,� r! /�'M a rt ISampler / r{ �� f t o_ Turnaround ,49! 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Requested Time 1:1�2 Work Das Lf 1 Work Day ❑ 2-8 Hours ❑ Waste Water v``�' f y CODE- ❑ Misc ❑ Detect U Eval F] Remed I-) Demo! I-] Closure U�Other Client Date/Time Matrix #of Cont Laboratory ��?� rid �� t: �� `, ��'�� Comments Sample I D Sampled Desc Cont Type Sample# l I I Is So 5 2 LJ 5 I I� 1� � � � l• �� is �.' 1c � ] !s 3 i- at I cil .�cZ �, tc 0 - — � I a L 10 0 Date ; r - Time 1 ' �'�' Received 8 �` 'r! �'' Date ' T1 Time `' Relinquished By t_�. , � , � 1 t 1 Date �}�'� Time %%«^ Received B Date Time Relinquished By ~ , , `tri r Relinquished B - - Date- Time Received B Lab �( ✓y %' Date Time -' Were Samples Received in Good Condition?0 Yes Q No Samples on Ice? ❑Yes ID No Method of Ship,fne t Page of o be completed upon recelpt of report / — 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑ No If no,what analyses are stili needed? - — 2) Was the report Issued within the requested turnaround time? Q Yes❑ No If no,what was the turnaround time? — -- Company ---Date ed by Signature ______