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OSW danrfs ofive►Morgan H. 00 N.CA 95097•(408)776-9 +FAX(4 82-63f1B U 18939120th Ams.,N-E-SWO 10t ►Bothell,WA 98411 ■(206)481-9240 <br /> D 819 Striker Awe.,Svita 9•Sacram4nlry CA 95834 (916)92i-9 <br /> U f=ast 11115 Montgomery,Suite t3►Spokane,WA gs2as•(sna) �a <br /> UNO&L <br /> Q 004 N.WigBt Lana•Walnut Creak.CA 94598•(925)98B•9600 U 15055 S.W.sequoia Pkwy,SLAo 110 d Portland,On 97222•�5 4 88Q0 <br /> ` U 1455 McDowell 01.0.North,Suite D•Petaluma,CA 94954•(707)792-18&5 CT.OBAT, rn TO 0 7 74053 3 <br /> Project Name: Former Unocal 00187 <br /> I ConsulfantCompany: Gettler-R an Inc. _ <br /> Addie 5747 Sierra Court, Suite J UNOCAL.Project Manager(irequlred]: Nick Nickerson 916-71 4-3 03 <br /> 1 city: Dublin $late: CA Zip Coda: 94568 A3=E#: - <br /> - Site#, City,State: 00187, 437 East Hiner Avenue, Stockton, CA w <br /> Tolophono: g2S--SS1-7555 FAX#: 925-551-7899 _ U <br /> QC Data: ❑Level D(standard) 0 Level C Leval B v Level A <br /> Sampler: <br /> RoportTO: Deanna L. Harding <br /> Airilaround O 10 Work Days 0 5 Work Days ©3 Work Days 0 Drinking Water <br /> Analyses Requested ii <br /> Time: U 2 Work Days v tWark Day ❑2-8 F3nurs U Waste Water L% <br /> CODE: ❑Mise. ❑Detect. U Eval. U Ram©d. IJ 00mol. :]Closure U Other <br /> � <br /> Client DatelTime Matrix #of Cant. Laboratory Comments <br /> Sample <br /> 't o�'� <br /> I. <br /> Sample I.D. Sampled Desc. Conl. Type Sample# C <br /> 1. ��G •o3Mu, � Vow <br /> S Oxy's by$260 a <br /> h1TH1i,TAA, osi <br /> 2. 1911MV116% _J <br /> 'IS TABJE <br /> 071 <br /> 1p <br /> 3D S7 <br /> i <br /> . f•o B . Date: if )o -rime: 1 ua <br /> Relinquished 13y: ,�' l3ale:� � 3 Time: � Received y � �/ .� . . . <br /> Relinquished By: D$te:7JQ65 1 TimolT&zo Recolvod By: „�. (,�%' Date: Tirna:1' , C <br /> Relinquished By: - Data: Time: Received thy: f ate: 7irrle: <br /> Were Samples Received to ~ ndl ion Yes ❑Ha / mples on Ice? WYes a No Method of Shipinen <br /> To be completed upon receipt of report: <br /> 1)Were the analyses requastod on tho Chain of Custody imported? 0 Yes ❑No it no,what analyses are still needed? <br /> 2)Was the report issued within the requested turnaround time? 0 Yes 0 No It no,what was th4 turnaround ttrne? <br /> Approved by: Signature: Company: ► C-. __ ,Dato.4 fo o <br />