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• '-, 680 Chesapeake 11m.•Redwood City CAN63•(415)364 9600 a 18939 120th Ave N E Suite 101 •Botheli WA 940(206)481 92000 <br /> UNOCAL ` 819 Striker Ave Suite 8•Sacramento CA 95834•(916) 921 9600 1-1 East 11115 Montgomery Suite B•Spokane WA 99206•(509)924 92W <br /> e <br /> 1 1900 Bates Ave Suite LM•Concord CA 94520•(510)686 9600 -j 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 98W <br /> Company Name L� Project Name <br /> Address ' 1A lc -) ;t.1 o UNOCAL_ Project Manager <br /> City t �� State Zip Code (o-?--p Release # C <br /> m <br /> Telephone Cl\(� f��U' ?A�� FAX # �� -v3Site # <br /> Report To ��'� c��1vv� ISampler �,V, ;1 �c� OC Data 1W Level D (Standard) I.rl Level C ❑ Level B r, Levet A <br /> EL <br /> Turnaround U 10 Work Days )4 5 Work Days 1-13 Work Days 1-1 Drinking Water [Analyses Requested <br /> Time ❑ 2 Work Das I, 1 Work Day Q 2-8 Hours ❑ Waste Water <br /> CODE ❑ Misc ❑ Detect F4 Eval ❑ Remed ❑ Demol Q Closure 0 Other <br /> Client Date/Time Matrix # o1 Cont Laboratory i/ Comments <br /> Sample I D Sampled Desc Cont Type Sample it \ <br /> 1 TS�J �� 7 `t5 5U u 3 Va�S 'L - <br /> 2 -0 <br /> ro <br /> 3 � <br /> 3 <br /> 4 ° <br /> a� <br /> 5 r <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 0 <br /> 10 <br /> 0 <br /> Relinquished By Date Z ti Time as Received By Date Time <br /> _m <br /> Relinquished By Date Time Received By Date Time Z <br /> Relin wished By I Date ITime Received By La Date j� 5 Time 13 <br /> Were Samples Received in Good Condition? Yes U No Samples on lce? )QYes LJ No Method o1 Shipment c i iff)fi Page L of L <br /> r2)) <br /> completed upon receipt of report <br /> Were the analyses requested on the Chain of Custody reported? U Yes IJ No It no, what analyses are still needed? <br /> Was the report issued within the requested turnaround time? 0 Yes U No If no, what was the turnaround time? — - - - ------ - - - <br /> q�nngti irP Company Date ___ <br />