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❑ 68p Chesapeake Drive•Redwood City,CA 94:49 <br /> 15)364-9600 ❑ 18939 120th Ave,N E,Suite 101•Bothell,WA 98011 -( 481-9200 <br /> U ❑ 819 Sinker Ave,Suite 8•Sacramento,CA 916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206.6924-9200 <br /> ❑ 1900 Bates Ave.Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)6249800 <br /> Company Name 6-,, Skl&ke I•y Project Name 'fDZq, 03 , <br /> Address 3p'j ��5 ec,� �� 0/ 5- - UNOCAL Project Manageri <br /> irn t� <br /> CityC��r3c,06&ate Zip Code �S(p a �3 �. �11 r <br /> Telephone t4 FAX# 1�371 •-1 311- Site # d, 8 <br /> l _ m <br /> Re ort To Sampler 5- t - CG.n f pC Data Level A(standard) ❑ Level B ❑ Level C ❑ Level D U <br /> Turnaround10 Working Days ❑ 2 Working Days 13 Drinking Water [Analyses Re nested <br /> a <br /> Time• ❑ 5 Working Days ❑ 24 Hours ❑ Waste Water <br /> ❑ 3 Working Days ❑ 2 - 8 Hours ❑ Other <br /> ap <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> z u1 - y6•S ��-fir t�: 0 <br /> �loz <br /> s UI -lSr.5 <br /> 4 <br /> 0 <br /> N 5 1112 ~ q5. S �-'�-f ��• X r <br /> 6 - �� .S -6-r I�:i <br /> 7 Lk3 -Lb <br /> 10 <br /> ! m <br /> Relinquished By Date Time D Received B"" Date 7 / Time /Q <br /> Relinquished By Dated Time ISa D Received By Date Time <br /> Relin uished By Date Time Received By Lab �• JDate Time ., <br /> Were Samples Received in Good Condition?la'Yes a No Samples on Ice? 11+Yes❑ No Method of Shipment ` Page X,'-of <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 C] No If no, what was the turnaround time? <br /> Approved by Signature Company Date <br />