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0 680 Chesapeake Drive•Redwood City,CA 94063•(415)364 9600 U 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 •(206)481 9200 <br /> UNOCALU 819 Striker Ave Suite 8•Sacramento CA 95834•(916)921-9600 L] East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 <br /> } <br /> U 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> Consultant Companye - Project Name UA f oc4q& #�f g`7 <br /> Address 16 d CP �q 2gSv��' I �� UNOCAL Project Manager A)ick IJrdcec-SOIL} <br /> City State Zip Code q 57f'O7Q AFE# <br /> c <br /> v <br /> Telephone (516) 631- 130() FAX# Site#, City, State 570cIC7OA) I CA I U <br /> Report To PA 04 29.10 6 isampler-70-;�L/ M, rkr4e, QC Data Aevel D (Standard) ❑ Level C ❑ Level B ❑ Level AA <br /> Turnaround 10 Work Das 1:15 Work Das ❑ 3 Work Da" ' a <br /> YY s ❑ Drinking nking Water Anal ses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ( 1 ❑ Waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol C3 'Closure ❑ Other \� tib <br /> Client Datef ime Matrix #of Coni i� Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 1 r 15-5�,5' I I� o . t11 r �ltzrv�M F, Y <br /> Q <br /> co <br /> J � <br /> 5 <br /> } <br /> 6 i } <br /> 7 { <br /> 8 <br /> 9 I <br /> I J O <br /> ro <br /> o <br /> ct5 <br /> Relinquished By Date - Z-00 TimeQ'U Received B DatellZ UG Time 6 CC) J <br /> Relinquished By /L Dat eZhu Time Received ,�i(� �Y ate �� Time <br /> i 4 <br /> Relin uished By , r Late I Time I Received Bv La ate Time 9, <br /> Were Samples Received In Good C ition?i Yes U No Samples on Ice?�t Yes o e`thod Shipment�'��►�13f 00 Page'y — <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? Yes U No If no,what analyses are still needed? <br /> 2) W e report issued within the requested turnaround timedwhat was the turnaround time? __ ---- <br /> Approved �*utip`_�ec�zo � Signature Company <br /> + II <br />