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i i I• i i i i ii i i i i i i i i <br /> I rl 11 I I I uVyu yi rutsaNunnu lu„ru i%UU,YVVU V,lr,V/{ VIV+ IM4 Vui VVuv❑ 819 Strlket Ave,Suite 8•Sacramento,CA 958 -+(916)921-9604 U East 11115 Montgomery,Suite 9•Spokane,WA 99206•( a)924-9200 <br /> ALil <br /> r ❑ 1900 Bales Ave,Suite LM•Concord,CA 94520o(510)686-9600 e U 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)6249800 <br /> Com �9 ytNamel I7 rlet4l�,r (Z� U I��,•tt . * d'Z U r Project Name* rneer Ot%occ� I D <br /> Aatir d641' "ll <br /> "',fl �? ..1 1. �� ' ' `�' ' UNOCAL I'ro)ec Manager . <br /> r !, ,' u , iii �' i t?.I/a ' 'COU r-� �.e. I'"t r , 0 + <br /> CI�Y�I l �'f�i I ' I i I= 1�1 ;1I+,',,a State CR 0 Zip Code yS Release# r ; <br /> t i #! i1�Iil , LD <br /> t'elt3 h tie'1,►� PAX# �qIS� Ss�- 9 Site # 3 <br /> rkf Cv <br /> IRe I I n Tlo1iii .�iia'I is � 1'�il-�...CPr Sam ler �f a.• QC Data vel D(Standard) ❑ Level C ❑ Level B ❑ Level A c <br /> Tu�I Mind ❑ 10 Work Days ork Da ❑ 3 Work Days ❑ Drinking Water' � Anal ses Re uested �p a <br /> Ttm�: ���=4�r [� 2 Work�Da s ❑ 1 Work Da ❑ 2-8 Hours @,� Waste Wafer � u � ,y`� o 01 <br /> •,th <br /> COb ❑ IVlisc. ❑ Detect ❑ Pval ❑ Remed ❑ Demo! q Closure ❑ Other Q� � ,� x <br /> ` <br /> 1!t',Cllent Date/Time Matrix #of Cont Laboratory oa`��� �"kt : � � 4� x`03 ;A: <br /> I <br /> ' ample 1 D Sampled Desc. Cont Type Sample# ��` �` � `�� ��, �° ,(° a��M La Comments ArU 'i I Job N: v 902U� 1. o <br /> r � <br /> 5 !,1{� {4i r3, ` r i o him <br /> 902069d I y Y, <br /> r <br /> 94 IE� iiII r � <br /> {r fti <br /> , <br /> O <br /> p <br /> I'�i�'illl�flf REi ' I , 0 <br /> `� ;1►!� ellfgiiufihed By Date Time ►- Received B • Date?-� S`I Time (I� » -J el irishiedB '� Dte�> ! Time Rec�itaed B Date• ' Time <br /> 2151991 17 , 35 <br /> t119hed BY: Date• Tlme . Received-By Lab• Date• Time• <br /> �tI; I II ! I I ,i!=1pr , l <br /> t' ii w t�s'Recelved In Good Condition?❑Yes❑No Samples on Ice? Cl Yes 0 No Method of Shipment � Page 1 of L <br /> T „fileted�upon,receipt of report I <br /> i r iP ,erlth�analyses requested on the Chain of Custody reported? a Yes❑No If no,what analyses are still needed? I <br /> thgir6port Issded within the requested turnaround time? O Yes 0 No If no,what was the turnaround time? --- <br /> II Crnn-%4r,rra <br />