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❑ 680 Chesapeake Drive•Redwood City,CA15)364-9600 ❑ 18939 120th Ave,N 1,Suite 101•Bothell,WA 9801so 81-9200 UCAL D<819 Sinker Ave,Suite 8•Sacramento,CA 834•(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924 9200 ❑ 1900 Bales Ave,Suite LM•Concord CA 94520•(510)686 9600 ❑ 15055 S W Sequoia Pkwy Suite 110•Pordand,OR 97222•(503)624 9800 rAddress mpany Name _ a� 14 c- Protect Name �+n 6 t S'7 316�► a1 �r� s0ti k Zip UNOCAL_Project Manager 1K)i ck y ��o Car� State CA ZtpCode X5670 Release# m Telephone 91(>) 631- 13ab FAX# NOM -131-7 Site# 0187 S�ockAo.n, CA Report To Dlr,vtib V�erz- ISampler '4-4 kAer7c-cs OC Data 'f Level D(Standard) ❑ Level C ❑ Level B ❑ Level A Turnaround 10 Work Days ❑ 5 Work Days ❑ 3 Work Days Cl Drinking Water jAnalyses Requested Time ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours ❑ Waste Water �'� pl CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ other Client Date/Time Matrix #of Cont Laboratory Sample I D Sampled Dese Cont Type Sample# �Q �� Comments O\j - 2 - iQ/3i 1329 5a, 1 a 0 o 2 uv- 2 - Il ,3'S3 JilX k� 820 0 ca 3 U V - �( k X 4 Uv - Z- Z I IgoS X K )( 3 a 5 U V -Z- Z(1 J 10-7 6 s 9 10 0 T 0 m Relinquished By Date #-I-Oil Time ! !�-2ld Received By Dale /- Time Relinquished By � - v Dated /-C� Time lI GS'' Received � ate Ii[t Tlme I .,� � 3 Relinquished B I Date ITime Received By Lab I Date ITime Were Samples Received in Good Condition? Yes❑ No Samples on Ices !Yes❑No Method of ShipmentPage_of_ I To be completed upon receipt of report 1) Were the analyses requested on the Chain of Custody reported? 0 Yes❑No If no,what analyses are still needed? — ----------- - - 2) Was the report issued within the requested turnaround time? 0 Yes O No if no, what was the turnaround time? Ai)l)rr)vect by Sinnalure f'nrrin'inl, n-itn