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�� lieU 680Chesapeake Drive•Redwood City,CA 9415)3649600 U 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 481.9200
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<br /> �t �� 1 1 U 819 Strike,Ave,Suite 8•Sacramento,CA 9583 (916)921-9600 U East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200
<br /> {;�,� O 404 N.Wlgal Fane•Walnut Creek,CA 94598•(510)988-9600 U 15055 S W.Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)8249800
<br /> ►I °�' il 11,�'t' '�d '' Orly: I� �ter 80 0 4( Project Name: i I
<br /> lolfmp ,, , .,, \+110 Q.
<br /> 1"r(A CO. + ' ' ' UNOCAL Project Manager: 1 Rl6,v+ goy S .
<br /> I i State' = Zip Code- ��.i6 AFE#• i i
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<br /> if-!,� �"j FAX#. 2a -�� Site#, City, State 'L 3 [ YY�tn2 a
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<br /> Sam ler i QC Data ❑ Level D Standard ❑ Level GJ'� ❑ Level B ❑ Level A �
<br /> is(biI' , f! d„ Work DaYs 3 Work Days ❑ 'Dunking Water .• '`
<br /> Anal ses Re uestedWh41 . r�,DaY4� �1U1 Work a �'
<br /> H8urs ' till,i Ds S aseaer U
<br /> , il'Ci4Mi`scu`;❑ Detect. ❑ Eval ❑ Rimed Demol Q Closure Other ) tiu(1�� �f �!'� r �� fL� 1
<br /> tai, U �� �' '�+� Ve b
<br /> :111111111! Glen 1; Dat Matrix' i� #of Cont Laboratory �l.(y��'; ��r��r,��, ,` 4�'fJ\ J��ti,'� J��� ,��1' �!U � ��,l't�1
<br /> i I Sample D. Sampled besc. Cont Type Sample# �, y �ti A4 r • u' L� i Comments
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<br /> p All S11=06d,59 X ) � X �-p,/ w
<br /> �O, t% I U - K 1C x 7� �i 5b�ut" c
<br /> j� 0 SUS K x x X r
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<br /> 1i1 OU ''''x ' '11 16 _ P02�0605K )C ! K
<br /> Z, VO4
<br /> fit / 1';2. ?K, x
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<br /> in lashed Bye Data Time Received B • Date Time -'
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<br /> = I� _ } 6 I �II fisl!hed B I= ,'�__ Date: Time Received B . Date, I Time,
<br /> - Io f j l l i i�ri I�i Y�I I 'i ' , i.P"40!roeell2-7.5199 r
<br /> ih uishe By. Date. Time Received B Lab I Date• + Ime• 3S
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<br /> is W ��e,s Received in Good Condition?0 Yes 0 No Samples on Ice? ❑Yes❑ No Method of Shipment I ��0Z
<br /> Page'
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<br /> mp,leled upon rece pt of report:
<br /> II Ile a the anal ses requested on the Chain of Custody re orted? ❑Yes O No If no what anal ses are still
<br /> �, � Y, q Y P y eneeded?
<br /> II jl Was!ttle report Issued within the requested turnaround time? 0 Yes 0 No If no, what was the turnaround time?
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