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❑SW MV-s Drh*Q•Morgan H11,CA 90374(408)110-M•FAX(408)782 6308 O 1e939120th Abe,N.E.Suite 401 •Bothell,WA 98011•(206)4 Bi-9700 <br /> UN �j�`, J 819 Sulker Ave.Stn to S•Sacfame47io,CA 95834-(9t$)021 OW O East 11115 MonlgomerV.Suite B-Spokane.WA 99206•(509)924-9700 <br /> Q 404 M.Wiget Lane•Wefnut Creek;CA Sit •1(525)988-5600 ❑15035 SW Sequoia Pkwy,Suite 110•F�or0and,OR 97222•(603)624-98M <br /> 01455 McDowell Blvd No^Suite D•Petaluma,CA 94954•(707)792-1865 (,LLOBA;, IDS 70607700539 ` <br /> Consultant Company i Project Marne Farmer Unoeal #0187 <br /> Gettlar-4t an Tn , <br /> Addross 6747 Sierra Court, Suite 1i 1� UNOCAL Project Manager(required) Nick Nickerson 916-714--3205 <br /> State. CA Zip Code. 94568 ASE#: <br /> City. 1htblir1 - — <br /> LD <br /> Telephone 925-•551--7555 FAX ,1' 925-551-7899 it - Site#, City,State:4p187, 437 East; Miner Ave., Stockton, CA <br /> "-- --- --------- - -- -- - - - Lt Level C a level B D Leval A <br /> Report To, I1PRtlt1R L. llardirlg Sampler. tel'' YC [J QC Data: 7 Level D(Standard x <br /> 1, 11 9 [Analyses Re uosled <br /> Turnaround Io Work Oays ❑5 Work Days U 3 Work Days U Unkin Walar y a <br /> Time: ❑ 2 Work Days ❑ 1Work Day O 2'6�Maurs O Waste Water <br /> a� rY <br /> `r II <br /> CODE: o Misc, ❑Detect ❑Eval ❑Hemed o Gemot Cl closure ❑Other <br /> Client DatelTime Matrix a of Cant Laboratory � � � Comments <br /> SampTe l D Sampled Desc. Cont Type Sample i r �rj <br /> t�z-rY o t 1-zrl� r� <br /> 1 �� a�� 5 nay's br Rt64 <br /> OL •03 - 11rnv,TbA, <br /> 2. <br /> 3 mss- <br /> 02 <br /> CC J <br /> T f � All <br /> a <br /> 02 <br /> 8 -ZZ 7 's-f p �� <br /> v <br /> 9 <br /> 104AP-1-11 I it It <br /> 1.Relinquished By. ' Date� 4� Time Vz�� Received By:R14 <br /> Time. � � - <br /> -+� <br /> Relinquished By: Date •�.'p� Time.f 0 Received By. f)ate-`�+ u Time ��} Q <br /> Relinquished By: , /� Date•%,_j�a Time: Reoehred By: & <br /> Woro Sampios Raaeod rn Good Condition? U Yes U No 1 Samples or►fee? U Yes ',No e o sen# j age_ D1-- <br /> nrTo be complated upon recolpl of report , r <br /> 11)Were the analyses requested on the Chaln,of Custody reported? QYes AL1 No ` It no,what analyses are still needed?, <br /> 2)VII o report issued within tip Qgtrosted turnareund�llmo? ❑Yes No if no,llMlla[was tho turnaround time? <br /> Appmve /L°c�L_ L� signaltu �' Company: 6 <br /> 1 R <br />