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-(.Q iJ 819 Sinker Ave,Suite B Sacramento CA 95834 (91 1-9600 IJ East 11115 Mon! omery Suite B Spokane WA 99206•(509) 0 <br /> V`V v r <br /> U 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)624 9800 <br /> i <br /> Consultant Company 1 Coe Prolect Name , j 7q <br /> Address a,1.2 C, UNOCAL Project Manager <br /> .82 <br /> City State Zlp Code 9.uflo AFE # c <br /> a� <br /> Telephone L L r �� FAX # ^ � Site#, Clty, State 5 �� U <br /> Re ort To I N + kamgler r 4 el N OC Data ISLevel D (Standard) ❑ Level C ❑ Level B vel A <br /> ra. <br /> Turnaround fd10 Wor Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal ses Re u sled 5 <br /> Time ❑ 2 Work Das IJ i Work Da ❑ 2-8 Hours fJ Waste Water <br /> CODE. ❑ Misr, 1:1 Detect ld Eval 1J Remed IJ Demol IJ Closure kd'Other D� <br /> Client Date/Time Matrix #of Cont Laboratory q' 4. <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> 0 <br /> e - M jz�- ! <br /> 0 <br /> LD �/0SL_- 3 3 <br /> a <br /> 5 <br /> 6 <br /> 7 <br /> a <br /> 9 0 <br /> 10 <br /> O <br /> I ([1 <br /> Relinquished By Date ' Time ' �3 <br /> t5" Received Bim- �c�-- Date r �� Time /� <br /> m <br /> Relinquished By �� CCS Date ? ,f" ly Time /3/J— Received B <br /> Relin ulshed By Time Received By Cab Datea/,,; Time /3 <br /> Were Samples Received in Good Condition?IJ Yes IJ No Samples on Ice? LJ Yes FJ No Method of Ship n Page_of <br /> nbe completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? lJ Yes tJ No If no, what analyses are still needed? _ – <br /> 1 Was the report Issued within the requested turnaround time? IJ Yes 1.1 No If no, what was the turnaround times <br /> ed by _ __ _ _ Signature Company Date <br /> I <br />