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I <br /> ❑ 680 Chesapeake Drive•Redwood City,CA 94063•(415)364-9600 O 18939120th Ave,N E,suite 101 •Bothell WA 98011 •(206)481 9200 <br /> UNOCAL <br /> 819 Striker Ave,Suite 8•Sacramento,CA 95834;(916)921-9600 U East 11115 Montgomery,Suite B-Spokane,WA 99206•(509)924 9200 <br /> f <br /> C] 1900 Bates Ave,Suite LM•Concord,CA 94520•(510)686 9600 Q 15055 5 W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624 9800 <br /> , <br /> Company Name � �,Q� h c, F <br /> Project Name (,n oGo. # 4 l 8 <br /> Zip Co <br /> Address 314q Go �t-t,,� , a 'Zq �' UNOCAL Project Manager Kj tGk <br /> , C,. <br /> City <br /> CL., State c A de I q S 6 7o Release# <br /> LD <br /> Telephone 9 f 6 631 - 12 FAX# {9i[1 I X31- 131-7 Site# Aff p L 8-1 dhcl Vo U <br /> Report To lam... 4TX--a5 lSaMLIer �a��' �t�'iza �I QC Data Level D(Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround ❑ 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking WaterAnal ses Requested <br /> 44 <br /> Time U 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours f i EJ Waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demoli❑ Closure ❑ Other ��0 �° � <br /> t <br /> Client Date/Time Matrix #of Cant i Laboratory - �� �Qv <br /> Sample I D Sampled Desc Cant Type ' Sample# Comments <br /> 1 <br /> 0 - 15 - -S 40 00 0,140 -Soil 1 6 6 r �- t X co' Cm 0 <br /> 2 (_7 101qq I X I V flZ60 <br /> 3 IL 09�f8 <br /> I` r J <br /> 3 <br /> 4 d X a <br /> (D <br /> 5 V- 16 - 26 0157 l ii 'C7 X } <br /> 6 0 - 15 - 31 /00a I ;` X x X <br /> 7 V - 16 - 36 /Oa , � r X <br /> a v- IS - q1 la 17 i i'k X X X �� <br /> 9 u- IS - / 1621 x <br /> 10 V - IS - S1 I0211 I i� k ?( �� ca <br /> I 0 <br /> Relinquished y Time Received to ime l C <br /> ar <br /> Relinquished 8y �` Time S l Received B Date cal <br /> i <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition?❑Yes a No Samples on Ice? ❑Yes 0 No Method of Shipment Page_of <br /> i <br /> To be completed upon receipt of report <br /> 1 y Were the analyses requested on the Chain of Custody reported? ❑Yes❑No If no,what analyses are still needed? ---- ----- - - <br /> 2) Wa report issued within the requested turnaround time? C3 Yes❑No, what was the turnaround time? ---- <br /> Approved b _ _ ______ ____ _ Signature -____—__— --_Company �_ _____—Dall _ _ <br />