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I <br /> U 680 Chesapeake Drive•Redwood City,CA 94063*'1151311413600 0 18939 1201h Ave N E Sud, 101 -Bothell WA 98011 •120"14"1 9200 <br /> D(819 Striker Ave,Suite 8-Sacramento,CA 95834-(916)921-9600 v East 11115 Montgomery Suite B-Spokane,WA 99206-(509)924 9200 <br /> UNOCAL <br /> D 404 N Wiget lane-Walnut Creek,CA 94598•(510)988-9600 U 15055 S W Sequoia Pkwy,Suite 110-Portland,OR 97222-(503)624 98W <br /> Consultant Company e� — &A,43 TNG �� I'� Project Name u )ocA L 0117 7 <br /> Address 31 d�( (ap lJnm,� ,,r I-e- ZED I UNOCAL Project Manager 0 .c<< 1J <br /> City j ,�ti' ,�„� State GA Zip Code 956 -70 AFE# <br /> i <br /> Telephone 616 631- 13d-2� FAX# (916)(.'3 i - 1 3 L7 Site#,Ci!y, State A018-7 S'i VCkI000 CA . <br /> U <br /> Report To <br /> Noe 1Sameler*-/'&J4H1kAC1cQC Data Level D (Standard} LlLevel C LlLevel B ❑ Level A C <br /> Turnaround FJ 10 Work Days ❑ 5 Work Days ❑ 3 Work Daysi ❑ Drinking Water Anal ses Requested o <br /> Time LJ2 Work Das ❑ # Work Da ❑ 2-8 Hours ,F I ❑ Waste Water v\1 0 <br /> CODE: IJ Mlsc LJ Detect LJEval ❑ Remed C3Demol ❑ Closure ❑ Other A 11 `(b 'V <br /> n �o <br /> Client DatelTime Matrix #of Cont Laboratory �� f ` p V <br /> Sample I D Sampled Desc Cont Type Sample# � Comments <br /> oil <br /> ro <br /> 2 no <br /> x J <br /> a U -Z.05 <br /> 5 4� CJ+ Z: 15j y a� <br /> 164 Il } <br /> 6 <br /> 7 II <br /> 9 <br />� t � <br /> t0 I C%j <br /> Ii a <br /> Relinquished By Date,1a3 6 Time Rec Date 10/50/O Time 169D J <br /> Relinquished By "Dat to � eJ Receive C411-1-A64Da# Time I7 <br /> Rohn uishe Date I I I lme Received By Lab Dale Id5l f Time <br /> I <br /> Were Samples Received In Good Condition?U Yes U No Samples on Ice? U Yes U No Method of Shipment_ Page of <br /> To be competed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes U No if no, what analyses are still needed? r <br /> 2) Was eport issued within the requested turnaround time? U Yes U No*, what was the turnaround time? . <br /> Appicved b Signature I _ _ __ Company __ __ Date <br />