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i <br /> U 680 Chasapeake prlve*Redwood Cdy CA 941{415)364 9600 U 18939 120th Ave,N E,Suite 101 •Bolhall WA 98011 - <br /> •481-920u <br /> UNOCAL10 A 619 Striker Ave,Swie 0•Sacramenw,CA 95834•(916)921 9600 U East 1111115 Monigomeiy,Suue 8•Spokane,WA 99206•(509)924 9200 <br /> U 404 N Wigel lane•Walnut Creek CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy Suite 110•Portland,OR 97222•(503)624 9800 <br /> Consultant Company �1ti�� 1 C t Project Name � N <br /> Address 31�` ��� '� - UNOCAL Project Manager 1 <br /> City �� , Stale Zip Code C SL p AFF f1 <br /> 1 ele hone I I G) FAX # (o3t)- LD <br /> Slle #, City, Slate {� `,��L,JcC U <br /> Report To r•,(_ NA �Sampler _vv� ' QC Data W Level D(Standard) ❑ Level C ❑ Level B ❑ Level A <br /> ii <br /> Turnaround i] 10 Work Days 145 Work Days ❑ 3 Work Days ❑ Drinking Water [Analyses Requested <br /> Time I] 2 Work Das -0 1-Wo" ❑ 2-8 Hours i] Waste Water s <br /> CODE iJ Misc I] Detect IA Eval ❑ Remed ❑ Derrlol ❑ Closure ❑ Other <br /> Client Date/Time Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Coni. Type Sample # Comments,y' � /�� <br /> 1 Ste+f�(rt7 SIAM50 LI 4 eu'G- jb0 /V\ X 0 <br /> 2 Q <br /> 3 � <br /> 4 o <br /> 5 r <br /> 6 <br /> 7 <br /> B <br /> 9 <br /> 10 0 <br /> 0 <br /> n <br /> J <br /> Relinquished By Data k Time s`v00 Received Bdj2 Date Time <br /> a� <br /> Relinquished By Date d Time Li�00 Received By Date Time L <br /> Rettn tusllect By Date Tune Received By Lab Date /�`9� T1me <br /> Were Samples Received in Good Condition?p Yes 0 No Samples on Ice? Yes is No Method of ShipmenI w+ 7-c\ -NO Page_`_of� <br /> To he competed upon receipt of report [[[ 1 <br /> 1) Weie ilia analyses requested on the Chain of Custody reported? 1]Yes Q No If no, what analyses are still needed? - <br /> 2) Was the reporl Issued within ilia requested turnaround time? Cl Yes Q No If no, what was the turnaround time? <br /> Approver) by __ _—______ Signature _ __ _ __ ________—_Company Date <br />