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13680 Chesapeake Dnve•Redwood City,CA 9404916) <br /> 5)364-9600 0 16939120th Ave,N E,Suite 101 •Bothell WA 98011 •(2#024-9200 <br /> 1-9200 <br /> U N� n C] 819 Striker Ave Suite 8•Sacramento CA 95 921-9600 G East 11115 Montgomery,Suite B•Spokane,WA 99206•(5 <br /> ❑ 1900 Bates Ave Suite LM•Concord CA 94520-(510)6869600 ❑ 15055 S W Sequoia Pkwy Suite 110•Portland,OR 97222•(503)624 9800 <br /> Company Name ,��-rel /� yr _%,•,, %.' Project Name -7 <br /> Address `7� , � %f , lir rr i� ,� UNOCAL Project Manager � <br /> o ,T <br /> City �G,.y _ Cr�G State eW Zip Code Release# 15 <br /> Telephone G/ - ��11C� FAX# / -f /i Site# j <br /> / 0 <br /> Report To ���j (�`0"5� _[Sampler !-1 ���✓'� y ' <br /> QC Data Level D(Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround 41' p Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ DrinkingWater G L� <br /> Analyses Requested !t ') <br /> Time ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours Waste Water �{�'✓ <br /> CODE ❑ Misc ❑ Detect -,'tval ❑ Remed ❑ Demo[ ❑ Closure ❑ Other <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Coni Type Sample# / Comments <br /> 1 '/ ?-a{ `la/ ,'1- &} r 1"(,A I I I fvr <br /> 2 lay <br /> 4 Gf- I i L�, <br /> VT <br /> t I <br /> V <br /> 6 rr <br /> 7 <br /> 8 <br /> 9 <br /> 10 �` <br /> 0 <br /> itY <br /> L <br /> 0 <br /> .Q <br /> Relinquished By ��/ Date e_ Time//q, Received By Date <br /> Relinquished By Date ime Received Bv Cra�te Time <br /> Relin wished B Date ITime Received Ry Lab Date , lr�Time G G 6 <br /> Were Samples Received in Good Condition'?r Yes❑ No Samples on Ice? es❑ No Method of Shipment—L/Z _ Page of l <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑ No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes❑ No If no, what was the turnaround time? <br /> Approved by Signature Company Date <br />