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U 680 Chesapeake Drive•Redwood City,CA 94063•(415)364-9600 U 18939 120th Ave,N E,Suite 101 •Bothell,WA 96011 •(206)481-9200 <br /> UNOCAL 819 Striker Ave,Suite 8•Sacramento CA 95834•(916)921-9600 U East 11115 Montgomery,Suite B•Spokane WA 99206•(509)924 9200 <br /> U 1900 Bates Ave,Suite LM•Concord,GA 94520•(510)666-9600 U 15055 S W Sequoia Pkwy,Suite 110•PoWand OR 97222•(503)624 9800 <br /> Company Name 11 !I Protect Name ['ro ce4� A018-7 <br /> Address 31(:.4 zea UNOCAL Protect Manager N tcv- <br /> City tea. State e,� Zip Code C?S 67b Release# <br /> i m <br /> Telephone �R i6 63 t - (Sal FAX# (9a16b3l�; 13�7 Stte# D l 87 S�sc_[� a� C� _ c� <br /> Re ort To Z Sam ler <br /> l�a,�*�, za QC Data Leve{ D (standard) ❑ Level C ❑ Level B ❑ Level A Y <br /> CL <br /> Turnaround ;.10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water [Analyses Requested <br /> Time IJ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours I ❑ Waste Water � <br /> CODE: !J Misc ❑ Detect LlEval 1:1Remed 1:1Demol ❑,bos�ure L) Other ��0 <br /> Client Date/Time Matrix #of Cont' k Laboratory Comments <br /> Sample I D Sampled Desc Cont TYpg Sample# 2-111 <br /> 2 U - Z3— 6 1 10-153f I' X X X M 2� � <br /> 3 U - Z3 ' 64 1 a06 <br /> 4 VZ3 ' 71 I�++� 1 <br /> 5 u - Z 3- -76 1018 <br /> 6 U - 23 - Bi 1024 <br /> 7 u - 2s - 8(, 1040 I' X <br /> X X <br /> B <br /> s U - 23_q � 1101 I' X <br /> LN <br /> if 0 <br /> 10 �% - 23- Ipt tlOq f 6 X X x 0 <br /> II II <br /> Relinquished By Date - �o(7 Time ( Received 8 � Date//-7 GUTime /J0 r <br /> ! � � LTJ m <br /> Relinquished By � P Date//-7-0P Time,/e o f- Received to 1 t Time <br /> Relinquished By Date ITime Received B Lab Date Time <br /> I I ' <br /> Were Samples Received in Good Condition? Yes U No Samples on Ice;//-J Yes U No Method of Shipment_Sr',9w Page_of_T <br /> To be completed upon receipt of report ' <br /> 1) 41' <br /> e analyses requested on the Chain of Custody reported? U Yes U No If no, what analyses are still needed? <br /> 2) e report issued within the requested turnaround time?, U Yes iJ no, what was the turnaround time? <br /> Company q <br /> Ani)ruved by Signature ,_ <br />