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❑ 680 Chesapeake 9mre•Redwood City, A (41 5)364-9600 U 18939120th Ave N E.Suite 101 •6oihell,WA 98011 •69249200 481 9200 <br /> UCA L , ❑ 819 Striker Ave,Suite 8•Sacramento,CA 9 •(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane WA 99206• <br /> ❑ 1900 Bates Ave,Suite LM•Concord,CA 94520•(510)686-9600 0 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624 9600 <br /> l <br /> ompany Name e ler,— � •ZUG ProjectName NocAZ— #0/$7 <br /> ddress 31�p4- d cAm t , 9"tte, 2 UNOCAL Protect Manager /�� /l/rc�eie.rmJ <br /> ity 9AIJ Cko State , Zip Code IE�70 Release# <br /> c <br /> Telephone (q1(o) (cal- 1300 FAX# Site# Q 1 5T"OCK TON o CA <br /> Report To PA0;1 Zo kampler%�Jvmj KG o 10C.Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> n_- <br /> Turnaround 10 Work Days ❑ 5 Work Days ❑ 3 ark Days ❑ pnnking Water [Analyses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-15 Hours ❑ Waste Water __nn <br /> CODE. U Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure L1 Other ti� �p`U <br /> Client Dale/Time Matrix # of Cont Laboratory ��`� � <br /> Sample I D Sampled Dese Cont Type Sample# Comments <br /> -10: p S �e�s Dl E 1 - l Ca�l ,� rhT13� 0 <br /> z - - �� -�D'S3 ! -- aC hl, 5 b SZ� n <br /> 4 <br /> 0 <br /> m <br /> 5 <br /> 7 � -�q_ <br /> 0 <br /> 10 in <br /> 0 <br /> Relinquished By Date - Time Received B _ �c�� Date/ - -O Time /sv��' J <br /> / j C m <br /> Relinquished By._ 'P Date//- -Gd Time d.r Received B }�j ate clb l�; Time <br /> Relinquished Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? Yes U No Samples on Ice? 4YesU No Method of Shipment Page of <br /> a be completed 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? <br /> 2) Was the report issued within the requested turnaround time? U Yes U No If no,what was the turnaround time? <br /> Approved by Signature Company Date <br />