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' 2- c!t'p Z 0680 Chesapeake Drive•Redwood City,CA 94063•(415)364-9600 Cl 1$939 120th Ave,N E,Suite 101 •Bothell,WA 98011 •(208)481-9200 UNOCAL ❑819 Stnker Ave,Sude 8•S40mm Into,CA 958341•(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 � 11 0 404 N Wiget Lane•Walnut Creek,SCA 94598•(510)988-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 & 0, Consultant Company �jovSiS. $ Project Name r h,�r SS tg Address' 6�4� Si��r�t Co><��'s'•t�f C� ;; �j UNOCAL Project Manager kyr, z outf' City State 6. Zip Code y,yS-4$ AFE# Tele one y-r) sS'/ ;-JC9u' FAX# 9Zs�) IL Site#, City, State 1 EQ.c-/ C& ' -S4w-6�3 0 ii A E , Report To bga4v., hkz 0a Sam ler t1 ;L 4�n IQC Data A Level D Standard ❑ Level C ❑ Level B ❑ Level A Turnaround 10 Work Das 5 Work Das ❑ 3 Work Das _ a Days Y it Y ❑ Dunking Water Anal ses Requested Time: 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours '#V• ante Water CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol Closure ❑ Other y`� - - 7 F ] Client Date/Time Matrix #of Cont Laboratory Sample I D Sampled Desc Cont i Type !� Sample# ''1 Comments ° L [`p 2 u - 1) • , -� s °-I It X - ✓ 3 u 1 z Ste' - S II X 3 4 -,13 5 ++�� s ti .,ill •I �,r G Z r (�►� L d' II I 1 6 11 5 I I ,i 9 10 111 ,Z•-Jt u I a ..• j, i� i �( II 0 Relinquished By `" Date4 it Time to�tti Received B Date mTime , Relinquished By Date ' �I Time Received B Date ime 3 I Reim ulshed B I Date ITime I Received By Lab Date [Time Were Samples Received In Good Condition?❑Yes❑No ; I Samples on Ice? ❑Yes❑No _Method of Shipment Page of= I I To be completed upon receipt of report \ 1) Were the analyses requested on the Chain of Custody reported? 4 Yes O No If no,what analyses are still needed? 2) W e report Issued within the requested turnaround lime?,I O Yes❑ f k no,what was the turnaround time? :, �—Pp r'ove Signature Company Z