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i <br /> U 680 Chesapeake Drive•Redwood City CA 94063•(415)364 5600 Q 18939 120th Ave N E,Suite 101 •Bothell WA 98011 •(206)481 9200 <br /> 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921 9600 U East 11115 Montgomery Suite B•Spokane,WA 99206•(509)924 9200 <br /> UNOCAL 0 <br /> Q 404 N Wigel Lane•Walnut Creek,CA 94598•(510)988 9600 Q 15055 S W Sequoia Pkwy Suite 110•Portland,OR 97222•(503)624 9800 <br /> Consultant Company0,C�- �.n%i L-1,11 U- _4 i - Projec(NameKno"') 5 <br /> Address �j�(p�� 1� •� UNOCAL Project Manager if ' <br /> City St to Zip Code b AFE # <br /> Tele gone FAX# 14 Site #, City, Slate 58N9 5 <br /> `` yy U <br /> Report To iLK Q1 lsampler.)-�AIIII'�"M ae QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A c <br /> si <br /> Turnaround 10 Work Days C) 5 Work Days ❑ 3 Work Dayj Drinking Water jAnalyses Requested <br /> Time. I❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours Q Waste Water ,y <br /> CODE. IJ Misc W Detect ❑ Eval U Remed ❑ Demol ❑ Closure ❑ Other <br /> Ghent Dale/rime Matrix #of Cont Laboratory �{ <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 1 [tilt) _ 1Q l 0 u X X <br /> 0 <br /> 2 o i o <br /> 4 -2- 145L ao <br /> m <br /> 0 ? <br /> 7 - 3 l _ lit j �� <br /> 10 0 <br /> a <br /> co <br /> I ytb Q Date ,j` Tune1,6196 <br /> Hehnc urshecl B Dale Time Received B d �� , <br /> v <br /> fie111)(11 listled 6y v Date ,T Time D Received By Date Time -E <br /> Nelin (itshed BV/ Date Time /Received B La ! Date �w Time I <br /> Were Sdinples Received In Good Condition? Yes❑No Samples on Ice? �!Yes J No Method of Shipment —'ikJ—_\�_,��2 Page_L of_L_ <br /> To e completed upon receipt o report !!! <br /> 1) Were ilia analyses requested on the Chain of Custody reported? U Yes❑No If no, what analyses are still needed? <br /> 2) WdS 1110 report Issued within Ihip requested turnaround time? iD Yes 0 No If no, what was the turnaround time? <br /> Approved by _ ____ ___ Signature _____—___ Company _ Date _�_ <br />