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ILi O 6M Chasapoake Olve a Redwood Oily,CA 9*0155 WA 9804 U 189: 120th Ave,N E.Surto 161.8oM%VA► 98011•{206} <br /> UNOCAL / 0 819 Str t9►Ave,StLte 6•Sammefflo.CA 95M•(916)921-OW Q East 11115 Mwd omsry.Sou B-Spat W",WA 99206•MR)924-RW <br /> C1 19M Bator,Ave.9ulto LM•Oarroard.CA a Moss sw SogWa Pkwy.Sulo 110•PoMwA,OR 97222 P(Sq M4M <br /> Name �/ Project Name•� I rm r r f <br /> rens. $hei J� UNOCAL Project Manager e1 e►V <br /> City. <br /> COMA Slate: zip Coda. � Release 9: r IT �. <br /> Tele hone: b3 I—1 00 FAX W W1771717 Site N=r7 � A- l-htw. /�qGrti to / a <br /> To Pif Sam <br /> 1, 1 4C Data:A Level D Stands Q Level C ❑Level B ❑Leve!A <br /> Turnaround 61a worts Days U 5 Work Days 0 3 Work gays Q Drtnlcing Water JAnawaRoque8fedl <br /> Time- ❑21Nork Da s ❑ t Work 0 "Mows U Waste Water <br /> CODE:❑misc. ❑ Deteci ❑ Evat ❑Rsmed. 0 Donal U Closure ❑ Other <br /> Citenl Datell irne iUlatnx #a1 Coni laboratory ` <br /> Sampla t D. SantpTod Dose Cont. TYPO Sample# Comments <br /> 714 —o <br /> 3 ..gypIV <br /> 4. <br /> t.. f6 3 'allow <br /> � P � I — � � � � � � -•-pyo <br /> 7 <br /> 8 <br /> 9. <br /> 0 <br /> i0 co <br /> 0 <br /> Relinquished By, Date• rme: Recelved f 137 <br /> m <br /> Relinquished By: Dais Time Received By Date, b*. <br /> QoHngulshed By Time lReceived By Lab. Date: e <br /> Were Samples Received in Good Condition?a Yes a No Samples on ice? ❑Yea O No Method of Slnpm er1L Page—of— <br /> To bo completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? O Yes U No K no.what analyses are stfl!needed? - <br /> 21 Was the report issued%thin the requested turnaround lirne? C]Yes U No ll no,what was the turnarowld time? -- -_ <br /> Approved by Sigrtmture comp". Cate. <br />