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i U 680 Chesapeake Drive•Redwood Cary,CA 94063•(415)364-9600 ❑ 11939 120th Ave NE Suite 101 •Balhell WA 98011 *,206,411 9200 UN O C A L • X 819 Sinker Ave Suite 8•Sacramento,CA 95834•(916)921-9600 U East 11115 Montgomery Suite B-Spokane,WA 99206•(509)924 9200 U 404 N Wigel Lane•Walnut Creek,CA 94598•(510)988-9600 U 15055 S W Sequoia Pkwy,Suite 110-Portland OR 97222•(503)624 9800 Consultant CompanyGeAler `-'R � I-AiL , I[ j; Protect Name UMO L -* 0/87 Address -3164 GoOca=e Or IV6 0 Z yp 111 UNOCAL Project Manager t JL o n - City �un{�o o��. State Zip Code E%6-10 AFE# Telephone916 3 �-/3 cvo FAX# (916)631- 131? site#, City, State 0 6-7 91VC-lc� CA , � Report To ,qw /4RZo Sam ler /on1 / 9E�Lj'I QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A Turnaround ,4 10 Work Days ❑ 5 Work Days ❑ 3 Work Days �� ❑ Drinking Water Analyses Re uested � Time 1-12 Work Das ❑ 1 Work Da ❑ 2-8 Hours I ❑ Waste Water ` "1 ti0 - CODE. U Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ,❑ Closure ❑ Other IE 11 Client Date/Time Matrix #of Cont Laboratory 0or Sample I D Sampled Desc Cont Type ' Sample# `G Comments 1 d—/7- �S•s ' o eo - !14 A S i I �1d -Ol �( C4tlr t 0 2 1 -I - (/ - IL'1 Lik45 i 1l --0 WAG 92,60 — /Z- 5 € X )C X J xo Q) 5 0 -17- 111. 15+ /,/1 S 1 --( X, X X >- F , IE li E 9 10 t 0 0 ' o CIS Relinquished By E Received B L jt<c 7 Date --t11 Time e-c, Relinquished By ate Time Received B Date Time L Relinquished B ` - c « V I Date///-1v I Time 16 1 Received By Lab to t' ( y) Time l� Were Samples Rec ived in Good Condition?I�Yes U No Samples on Ice? Yes U No Method of Shipment >� ,��,f Page__ of To be completed upon receipt of report 1) Were the analyses requested on the Chain of Custody reported? LI Yes U No If no, what analyses are still needed? 2) Was report issued within the requested turnaround time Q Yes L1 No , what was the turnaround time? Approved b __ _ __ Signature _ _ ____ __ — ___Company __ ___ __ _ _ _ Date*