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❑ 680 Chesapeake Drive•Redwood City CA 94063•(415)364 9600 U 18939 1201h Ave,N E,Suite 101 •Bothell VYH `JtbuIi:VV01tio, acvv <br /> U 819 Striker Ave Suite 8•Sacramento CA 958016)921-9600 U East 11115 Montgomery,Suite B•Spokane,WA 99206 24 9200 <br /> UN&A L 624-9800 <br /> O 404 N W�get Lane Walnut Creek CA 94598.5510}988-9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•( ) <br /> Consultant Company e# e _� � ��, Pro)ect Name vfiVOCq L -�O19 <br /> Address 3�(�4- 6)a d RL, UNOCAL Project Manager AlILk 'GKN <br /> City fit? [ ,,dQ /� State [A Zip Code �s� AFE # <br /> - DQ FAX# Site #,City, State S=krn� CA <br /> Telephone q/ 6 ' v <br /> /�CpGfG� QC Data evel D SStandard) ❑ Level C ❑ Level B ❑ Level A c <br /> Re ort To f�1+'Id �E�Z Q Sam ler a <br /> Turnaround 10 Work Days LJ5 Work Days ❑ 3 Work Days 1:1Drinking Water =Anal Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water 4 <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other *N1 <br /> Client Date/Time Matrix # of Cont Laboratory �� � �� Comments <br /> Sample I D Sampled Desc Cont Type Sample# <br /> o B <br /> N—ZS - SJ o a -1:35 Sof <br /> 2 -Z 5 - l/,s' : Z hits 2fc0, <br /> 3 �`Z5_ �Sr _ �'C-1 <br /> 5 U <br /> 6 LA -15-31S" r> > f� <br /> 9 �'LS ` (p z ' <br /> 0 <br /> Relinquished shed Bto - - U Time Received Date//-a--(jp Time <br /> /66 o <br /> 2 <br /> Relinquished By �ZDate//-2-vv Time 1730 Received date Time l <br /> r. <br /> Relinquished B Date 3/7 Time Received B Lab Date 1/-r, Time <br /> S: <br /> Were Samples Received in Goo Condition? Yes U No Samples on Ice?�1 Yes Method of S ipment G l�3 �Pag�_ S <br /> o <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? VYes G No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time?UL, <br /> oC If no, what was the turnaround time? _p_ — ll <br /> Approved by Signature Company Date lZtJ <br /> v l �2rzo _ p�`- - / _ ___�PeC`L�_ __ _ �- <br /> _ ��__ __�,_ � „ <br />