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0 680 Chesapeake D"•Redwood Cdy,CA 415)364-9600 ❑ 18939120th Ave.N E,Sude 101 •Bothell,WA 98011•(424-9200 <br /> 81-8200 <br /> S 819 Stoker Ave,Suite 8•Sacramento,CA 95& •(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206• <br /> UN8CAL (D <br /> O 19W Bates Ave,Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-981b <br /> Company Name Qr_ aye/ ANG Project Name #it mer lydrq N e7 <br /> Address O Gd C r 1719 UNOCAL Project Manager N k t <br /> City CorrkA State Zip Code 70 Release# C <br /> Telephone r3on FAX# b Site# ( `Iv <br /> I <br /> Report To V q vird tl a Sam ler eq e r rel 5y� OC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround 0 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water [Analyses Re uested <br /> Time: ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other <br /> Client Datefrime Matrix #of Cont Laboratory Comments <br /> Sample I D Sampled Desc Cont Type Sample# L' <br /> 0 <br /> U _ 319 a. o Wer OR- o <br /> 3 p _ lRll / 3 <br /> 0 <br /> 4 �. y ''N/� o Oma' a)5 .� ata' e <br /> 6 <br /> 7Oa- <br /> 8 <br /> 9 . o CK <br /> 10 0 <br /> ate )� t J <br /> Relinquished By ate Time Received B <br /> Time , <br /> ai <br /> Relinquished By Date Time Received By Date I Time <br /> Relinciuished B Date Time Received B Lab Date ime <br /> Were Samples Received in Good Condition?0 Yes❑No Samples on Ice? ❑Yes❑No Method of Shipment Page_of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes a No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? U Yes 0 No If no,what was the turnaround time`s <br /> Approved by Signature Company Date ^ <br />