Laserfiche WebLink
❑ 680 Chesapeake Drive•Redwood City,CA 94053•(415)364-9600 ❑ 18939120thAve,Nk,Wile JuisauuLau,vvt% aou 1 :"u ,w4 �--- <br /> U O f 819 Striker Ave,Susie 8•Sacramento,CA 95834 )821'8600 LlEaSt 11115 Montgomery,Suite t3 Spokane,WA 99206 (509) 00 <br /> ❑ 1900 Sates Ave,Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S W Sequoia Pkwy,Sade 110•Portlarxi,OR 97222•(503) <br /> Company NameG a yv SN Project Name rd+"tner- j e 0187 <br /> Address VVI P k 1767 UNOCAL Project Manager Pf e K g Keofa N <br /> CityIkajIV hQ Cord#* State � Zip Code R ] Q Release# o T O T <br /> TelephoneM10451- 1300 FAX# (Ili) j r 3 Site# d Mj <br /> ,,mer N <br /> r <br /> Re art To , r Sam lerV, OC Data 0 Level D(Standard) LlLevel C ❑ Level B L1Level A a <br /> Turnaround 6 i0 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water [Analyses Re uested <br /> Time: ❑ 2 Work Das ❑ 1 Work Day C12-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eval 0 Remed ❑ Demol ❑ Closure ❑ Other <br /> Client Date/Time Matrix #of Cont LaboratoryComments <br /> Sample I D Sampled Desc I Cont Type Sample# A'%n Z' <br /> -- 3 w <br /> 20 <br /> 2 r�� to a� � <br /> 3 Alp— '"-D a`Og � o <br /> 4 •'�! � i� �� m <br /> 5 --),-- ;.a ° °del -®S k X r <br /> 6 r �"+ b � —61P <br /> 7 -- io 471 IMilt �� ' 'L <br /> 8 <br /> 9 a <br /> 10 `o <br /> M <br /> Date lD ?t <br /> Relinquished By e ID Time 0 Received B <br /> 0 Z ime I D <br /> Dat <br /> Relinquished By Date Time Received By Date I Time <br /> s <br /> Relinquished By I Date ITime lReceived By Lab Date [Time <br /> Were Samples Received in Good Condition?KYes❑No Samples on Ice? fes O No Method of Shipment—&* <br /> Page of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? L)Yes El No If no,what analyses are stili needed? <br /> 2) Was the report issued within the requested turnaround time? O Yes❑No If no,what was the turnaround time? Date <br /> Approved by Signature Company <br />