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6w cl apeatc tits a Dam-Re+tk+eod Gly.CA 44p8. 415f 364 9640 Q 18929 1201h Am,N.E,Su�'e 101•t30i�i,WA 98Gi i•(2W)}4# <br /> o wn ss�os•i5os}gza moo <br /> 819 BUiksr Ave.Sale 8■S.Waffienta. 'p16)9219600 n East 1#113 Mamgomary.Sueoa 8 SPoka�. <br /> t . 6VrM G, 1�S w Segt�Mee,Sura 110•pajV .OR gV222•(8 q 624.0800 <br /> �.] 1900Bfli88Ava,Su2el.r+i+C��oerd•CA 94520 (510) <br /> Company Name r— f TIC Project Name F64 <br /> ef <br /> Address' <br /> y: UNOCAL Project Manager: G <br /> Cr1 •� � <br /> ToWtOnD f FAX* III SRO I l � .�7 EA <br /> e �y C Data. �I.gvel D stands Q Level C C) vel i3 Q Level A <br /> ort Tom d Sern isr' a <br /> Turnaround N ib#N� bays O 5 Work Days Q 3 Wank Days Q Drbldng Water 5e*PaquGsted <br /> Time: Q 2 Wrrrk Das to i Work Day Q "Hours Q Waste Water <br /> i <br /> COME: d iVlisc ❑Detect. 0 Evai U Reined ❑ Dernol 0 Clos#re Q Oilier <br /> Client Dat MMO Malux ff of Cont. 1 Laboratory Comments <br /> Sample I D. Sampled desc Cont. TYPO Sample 9 Q ' <br /> r � <br /> 2 <br /> 4. <br /> s <br /> 110 <br /> aQ Ll e. <br /> Rehnquistrcd By Date Time' Receiv d <br /> Time <br /> Ad <br /> Resingt»shed By Date Time: Received By. <br /> Elate <br /> dale' T a- Heat B Lab Dt;F IrYt� <br /> Reh relied By. page_of <br /> Were Samples t;iecaived In Good Cardiltion?Q Ye$Q No sample s ort Ice? a Yes O[da Method of Shlfrmenl~ <br /> To be oamptelW upon mceipt of repart. <br /> S) Wore the analyses reguosted on the Crain of Custody reported? Q YasQ NO if no,witatarralyses are stiff needed? — <br /> 2) Was tho report issued within the requested turnaround Ilma? I]Yes Q No g no,what was 1hO Iumaround tune? pate• — <br /> Approved by — Signature _ --Company- — <br />