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I� + ❑680 Chesapeake Drive•RedwoodCity,CA94063• WO db4-aeuv i u JQW00 ,LV11, .- — " - <br /> 0 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-9� 0 East 11115 Montgomery,Suite B•Spokane,WA 99206•(509) 8200 <br /> ` ❑15055 S W Sequoia Pk Suite 110•Portland,OR 97222•(524 9800 <br /> 0 404 N Wiget Lane•Walnut Creek,CA 94598•(925)9138 980D R �^']' <br /> iFi 0 1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 <br /> 01an lnpi 6 40Z��cy,r Protect Nam <br /> _ yl+�. <br /> 7- UNOCAL Pr )ect Manager Hr• �� <br /> State (=.,aZlp Codec f�g AFE # ' <br /> I1`i ,o- , <br /> n _ FAX 9W��iD :;I= Site #, City, State t <br /> csF �' gSfr <br /> a <br /> A�'t <br /> Sampler ' OC Data Level D(standard) 0 Level C Level B o Level A <br /> n , 10 Work Days 5 Work Days O 3 Work Days U Drinking Water Analyses Requestedl a <br /> 2 Work Days ❑ t Work Day 0 2-8 Hours &%'Avaste Water ��/ R <br /> 0 Other <br /> i , <br /> Esc El Detect ❑Eval CJRemed ElDemol 0 Closure <br /> r�l p t Date/Time Matrix # of Cont Laboratory �� Comments <br /> D Sampled Desc Cont Type. Sample # t <br /> r I lQy <br /> 4 � �� �� I VQ// O <br /> 14, <br /> I I <br /> � L <br /> I � <br /> 1 <br /> IJ 11 , vl I ` 4 O l <br /> , 1 <br /> lit J 3 r 017 1 Y x ! <br /> � I I <br /> I <br /> V <br /> cc^ <br /> J <br /> Iq q I Y - Dat2 A9 a� Time m <br /> �f� I�rt �ed B Date Time Received By �� r <br /> I <br /> 11, <br /> Ing , d By Date 0� Time 1GSL2 Received Date Time <br /> Date Time r <br /> Ian t d By Date Time <br /> i <br /> Page—of� <br /> eceived in Good Condition? O Yes ❑No Samples on Ice? Yes O No; Method of Shipment <br /> ' } o' I ted upon receipt of report <br /> J WJ e analyses requested on the Chain of Custody repo•ted? D Yes ❑ No If no, what analyses are still needed? <br /> til f>;'F W e report issued within the requested turnaround time? D Ys No 1f no, what was the turnaround time? ` <br /> ve ,, Cher I ,2n sen Signatur Company <br /> G� � • DatAV�519 <br /> I � <br />