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U 680 Chesapeake Drive•Redwood City CA 94063• 5)364 9600 U 18939 120th Ave N E Suite 10t •Bothell WA 98011 •(206)481 9200 1819 Striker Ave,Suite 8•Sacramento,CA 95834 921-9600 U East 11115 Montgomery,Suite B•Spokane WA 99206•(5010-9200 UNO AL (D r..i 404 N Wjget Lane•Walnut Creek,CA 94598•(510)988-9600 U ]5055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9800 Consultant Company _ �C- Project Name M jeer- �� - C.5 q e (�S� Address G 7 7 Sierra 66 Sv/7e Consultant Project Manager �/�,�Q,- City ��l i dl State C,4Zip Code 7ysc�g AFE# Telephone qL5 'SS�� 7 55 FAX # 77,5-SS�- 79,59 Site#, City, State 018 'A 7 5��4 v Report To i /tA►l�i+4 Sam ler . �e c Pem 1, a+�L QC Data Level D (standard) ❑ Level C ❑ Level B Q Level A c n_ Turnaround U 10 Work Days ;Zi 5 Work Days ❑ 3 Work Days ❑ Drinking Water [Analyses Request d Time ❑ 2 Work Das Q 1 Work Da ❑ 2-8 Hours ❑ Waste Water CODE. ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol L1 Closure Ll Other \�'n��t) Client Datef ime Matrix #of Cont Laboratory �� j�� ' Comments Sample I D Sampled Desc Cont Type Sample# Q 1 -�-ZZ rzlRQO- a4is �- 3 VbA —0I ^6- 0 2 AIP-l-6s ZJJq ao 10 05- o sJU -� , llj 1 Od- toZ� 3 J _o 4 m 5 A)F- Z- Zo IZ191,06- (zfs 6 X 7 p-Z- 116 qoo- tai S7 - 06x 8 9 0 ro 10 0 Relinquished By Date AAAb Time /V- Received B , Date �� ' Timer/ J m Relinquished By Date Time Received By Date Time � ?�G��Gt'C��i'?�-��tt /zjZt O v Relinquished By Date Time Received By Lab {/ Date Time Were Samples Received in Good Condition?U Yes U No Samples on Ice? U Yes IJ No Method of Shipment Page—of - To be completed upon receipt of report 1) Were the an s request d on the Chain of Custody reported Yes C7 No If no, what analyses are st111 needed? 2) Was the re the requested turnaround time? ❑Ye�lo If no, what was the turnaround � -- ------- - - -- Approved by ,� _ Signature -- _-- Company ___ _-- _ _ --__--- _ _ Date