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I <br /> u 8B0 Chesapeakt""•Redwood City,CA "'6'•{415?364.91340 Q 16939 1201h Ave,.�!,£.Suite 101.13othe0,WA 9901 f (206)481$240 <br /> • 6 619 SU#ke r Ave.,Suile 8•Sauernem0,CA 9SSM•(916)82 19600 a Ent 11115 Mont oka <br /> Montgomery.Stile a•Spne,WA 99208�(W)824.9200 <br /> UNOCAL <br /> U 1900 Was Ave,.Sine I.M•Conoord.CA 04520■(810)666-9604 ❑ 150!56 S.W.Sem pkwy,Sulfa 110•POA18 xl,OR 97222•t50 624-9904 <br /> lCompany Name: be 141 e r 4l vc Project Name: 5 <br /> Address;__3 i_!t 0_ - . 6o-14 ...160Vir, 5fe, - 0 UNOGAI_Project Manager: 'G <br /> Cly: -A ho Lydova State: CA Zip Code:q 59 70 Release#: gyp,, . <br /> C; <br /> ��� r � 0 FAX : dd 631-11L:7� site#: F3- <br /> Tele hone: y` <br /> i � <br /> r01trT1D' e 1 ter. Geo ' G Data: Levet D(sta ar U t_evel C U Level B 0 L.ev+el And � 1p rk Days G7 5 Werk Days ❑3 WOM ays U Ddnkeing Water Anal aes Re osted <br /> U 2 Work Days ❑ 1 Work RU ❑2-8 Hours ❑ Waste Water <br /> CODE: Cl Miae. 0 Deteel. U Pval. ❑Remed. ❑ Demol.U Cb9ura U Other nat� <br /> Client DatelTime Matrix #of {;ant. Laboratory <br /> is <br /> Sample LD. Sampled Desc. Cont. Type Sample itXI 0 <br /> Comrrlen <br /> 2. - •' <br /> 3. - <br /> 4. JV P•- I �- <br /> s. �- <br /> t's. <br /> 14. <br /> Retie ulslled B . 04� ata: Time. Aecelyed to: Time: <br /> Y' <br /> r <br /> Ret'mqulshed By-, Datw Trnler Received Oats: Tirnw. <br /> elin Date: IBM. Ftecelved Ov Lab: Data: <br /> Were Samples Received in Good Gon(fiiion?U Yes U No Samples on Ice? ©Yes Q No Method o!Shlpmant._ ..� Page_of <br /> To be completed upon receipt of report: <br /> i <br /> 1) Were the analyses requested an the Chain of Cuslody reported? ❑Yes©No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround fto? a YesO No It no,what was the turnaround time? <br /> i <br /> Appr by:- -- __Sig11at1kre: Company. <br />