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U L,110 l:17e5apeake urine•IieCJwooa l:+ty,C:A; ;ti;;`•�i•(41 b)Jb4•90UU U I d9Ji J 1 GUlh AVO'.,N.E., Suite 101 -601tiell,WA yb011.,:^•+�46)481-9200 <br /> r <br /> UNOCAL 119 Striker Ave.,Suite 8•Sacramento,CA ao834•(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206"t509)924-9200 <br /> ❑ 1900 Bales Ave.,Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S.W.Sequoia Pkwy,Suite 110•Portland.OR 97222•(503)624-%W <br /> Company Name: eProject Name: <br /> Address: O UNOCAL Project Manager: <br /> City: IV&410p, State: Zip Code: 70 Release#: <br /> C <br /> Telephone: /6 - 2V-47bo FAX#: /— /X/ Site#: T <br /> Report To: ISampler: •_ DC Data: Level D(standard) ❑ Level C ❑ Level B ❑ Level A C: <br /> Turnaround ❑ 10 Work Das 5 Work Das 1:13 Work Das n- <br /> Y YY ❑ Drinking Water Anal ses Requested <br /> Time: ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water . <br /> CODE: ❑ Misc. ❑ Detect. ❑ Eval. ❑ Remed. ❑ Demol. ❑ Closure ❑ Other <br /> Client Date/Time Matrix #of Cont. Laboratory �d�\ <br /> Sample I.D. Sampled Desc. Cont. Type Sample# t '� C 00 comments <br /> S�/y 7 <br /> -iy-�y •r �� l f�,rerc �- X k X )C X <br /> 3. <br /> 4. 3 <br /> 0 <br /> 5. SZ7O + } <br /> 6. ow C'tw <br /> 7. <br /> 8, <br /> 9. <br /> 10. p <br /> w <br /> m <br /> L <br /> ^O <br /> L <br /> Relinquished By: Date:S-/s f7 Time: /DSo ReceivedWcnV Dater/r Time: <br /> . m <br /> Relinquished B <br /> Date:s^/�� 7 Time: 20 Received B Date: Time, t <br /> Relinquished B9 Date: Time: Received By Lab- Date?/.� ime: <br /> Were Samples Received in Good Condition? Yes Q No Samples on Ice? Yes❑No Method of Shipment ,SC"z5;Cf0 I/ir Page_of <br /> To be completed upon receipt of report: <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes❑ No If no,what was the turnaround time? <br /> Approved by: Signature: Company: Date: <br />