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U680 Chesapeake Drive•Redwood City,CA 94063•(415 364-9600 U 18939 120th Ave,N E,Suite 101 •Botheii,WA 98011 •(206)48 9200 <br /> UU O OAL , ❑ $19 Striker Ave.Swte 8•Sacramento,CA 95834•( 1 9600 U East i 7115 Montgomery Suite B•Spokane WA 99206•(509) 200 <br /> U 404 N Wiget Lane•Walnut Creek CA 94 <br /> 598•(510)9$8 9600 U 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9800 <br /> Consultant Company G' ,r Gt t Project Name <br /> c-s�.� � 7e5f - 1 ✓t�°f� . <br /> Address 677 UNOCAL Project Manager <br /> Site #, CityStats <br /> City d�,' St <br /> Zip Code gyS6g AFE# <br /> Telephone FAX# qZ <br /> gZS-SSl 7SSS 5-i& - $g , , [�1� 7 <br /> _ <br /> ' ��r ate C <br /> ��++� � U <br /> Report To L lµi►1AiL� 7 <br /> Sam ler P�C_O iN 1QC Data <br /> ,Level D(standard) ❑ bevel C U Level B kf! Level A C <br /> Turnaround IJ 10 Work Days /5 Work Days ❑ 3 Work Days ❑ Da <br /> rinking Water Anaf ses Re nested <br /> Time 1-12 Work Das ❑ 1 Work Day ❑ 2-8 Hours LJ Waste Water <br /> CODE. IJ Misc IJ Detect L) Eva! ❑ Remed ❑ Demol ❑ Closure tJ Other <br /> Client Date/Time Matrix 1 #of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> Y�/- 2 Zof017LZ a }c2 � ... �s �oq� '� 1 �] - l <br /> m <br /> 3 - - ll� -Ois k x <br /> 4 <br /> 5 2Z <br /> 0 <br /> x <br /> A)T2- - 1 -tok X x 5 <br /> a <br /> 9 <br /> 10EEEEIF= <br /> I AMQ <br /> 0 <br /> Relinquished By r Date 4>' Time 5 Received l3 ca <br /> rDate7 <br /> _J <br /> NEluu)uished By Date Ttme Received B Date Time Received B Lab <br /> Were Sdrriples Received in Good Condition?U Yes U No Samples on Ice? U Yes U No Method of Shipment_ Page Ut i <br /> __- <br /> To be complete upon receipt o report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes U No It no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? U Yes lJ No If no, what was the turnaround time? <br /> Appioved by Signature Company <br /> Ddte <br />