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❑ 680 Chesapeake Dore-AedwoW City,CA 94063-(415)364 9600 O 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 •(206)481-9200 <br /> UNOCAL • W819 Sinker Ave,Suite 8-Sacramento,CA 95834-(916)921-9600 Q East 11115 Morngomery,Suite B-Spokane,WA 99206•(509)924 9200 <br /> ❑ 1900 Bates Ave,Suite LM-Concord,CA 94520•(510)666-9600 D 15055 S W Sequoia Pkwy,Suite i 10-Portland,DR 97222•(503)624 98W <br /> i <br /> Company Name _ ar �hC• ' Project Name () h,G0.` ## O 18-7 <br /> Address 316q Ga(A Ca Su Z�20 i UNOCAL Project Manager <br /> f <br /> City `Rpr.{�v,a Cor o,rw State CA Zip Code 9S6 70 Release# <br /> Telephone (6116 ) 631 - tUlD FAX# 0(6) 631 i! 13 l7 Site# 6 181 t v <br /> ,II I fi <br /> Re ort To 00,VL ' 4or ISampler DaVt� �`� €� QC Data J-Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> f <br /> Turnaround ❑ 10 Work Days ❑ 5 Work Days ❑ 3 Work Days 11 ❑ Drinking Water [Analyses Requested CL <br /> Time ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours �� li ❑ Waste Water <br /> 1, <br /> 1 '� 1 <br /> CODE: ❑ Misc ❑ Detect ❑ E=val ❑ Remed ❑ Demol ❑Closure ❑ Other ��°,��o� 0� <br /> Client Datefrime Matrix #of Cont I Laboratory ��' wovq <br /> Sample I D Sampled Desc Cont Type, l� Sample#- .� Comments <br /> f � <br /> 0 - (s - t�D �1� I�S7 Sd� ai - I C e_ <br /> 2 U - 15 - EIS 1'�l`( Sar I &rr+ssCorc �C Mki3E 8260 <br /> I <br /> 3 1i <br /> 4 o <br /> m <br /> 5 } <br /> 6 € <br /> € <br /> 7 € <br /> 8 i 1i 11 <br /> 9 <br /> 10 o <br /> N <br /> _ L <br /> Relinquishe By Da 3/ Tinde Received B ��C� D ��C� ime5 <br /> EfE _ (D <br /> Relinquishedete Tirfie� Received B Date 1� Time t <br /> Relinquished By Date Time 4 Received By Lab Date Time <br /> Were Samples Received in Good Condition?Q Yes❑ No Samples on Ice? Q Yes U No Method of Shipment Page of_ <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? C1 Yes Q No If no, what analyses are still needed --- ---- - - --- <br /> 2) W 40 <br /> report issued within the requested turnaround time? d Yes C]f no,what was the turnaround time? -- -- -- --- --- - <br /> Approved _ _ �_ ___—__--_Signature �_____ _ _ Company _ ___ —__ _ __ __ _ ___ _ Da ___ <br />