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U 680 Chesapeake Drive•Redwood City,CA 91 (415)364 9600 U 18939 120th Ave,N E Suite 101 -Bothell WA 98011 • 481 9200 UCAL %A819 Striker Ave Suite 8•Sacramento,CA 9 •(916)921 9600 U East 11115 Montgomery Suite B-Spokane WA 99206• )924 9200 U 1900 Bates Ave,Suite LM•Concord,CA 94520•(510)686 9600 U 15055 S W Sequoia Pkwy Suite 110-Portland OR 97222-(503)624 9800 iCompany Name (f-) _ l h G' 'I Project Name U ha coJ * b t8-7 Address "3l CJ C-1u(c) Cc,412V rkae- Svt� Zqa UNOCAL Project Manager N 1 CV cily -�anAV Cordaro- State CA Zip Code QS6-70 Release# Telephone (R (6) 63t - (30-D FAX# C916) 631 - 1317 Site# D I a-7 �j �� ,,� to LD tt,, U Report To ��a Sam ler Dgk'- � l -r QC Data U,Level D(standard) ❑ Level C ❑ Level B ❑ Level A Turnaround 10 Work Days ❑ 5 Work DaYs ❑ 3 Work Days Requested❑ Drinking Water Anal ses ° Time IJ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water CODE- ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other Client Date/Time Matrix #of Cont Laboratory f v Sample 1 D Sampled Desc Cont Type Sample# L �� Comments I - z 3- s.s 1 i1-310 0q Z<, � � + 501 ill Iq 0 X c'nA pm 2 u - 23 ' It 09Z-7 4 3 u -2 3 - 16 0-#31 X J 4 u - Z3 - 2t 010 x 3 0 6 u - z3 - ZL 0q38 6 V - z3 - 3t 7 u - 23 - 36 10 v - 23 - 5 ) 096 0 J Relinquished By Date/)-, -(J Time ��Dc� Received B .��'� Dale//7-0L) Time /§-&r , Relinquished Bye Dat - -G iE Tim�'�G� Received rrr�Nlie- 1 Time �' Relinquished B I Date iTime I Received By Lab I Date Time Were Samples Received in Good Condition? Yes U No Samples on Ice? kes U No Method of Shipment PCAM0 Page of T To be completed upon receipt of report 1) Were: the analyses requested on the Chain of Custody reported? IJ Yes IJ No If no, what analyses are still needed? 2) Was the report issued within the requested turnaround time? LJ Yes tJ No If no, what was the turnaround time? Approved by Signature Company Date