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❑ 680 Chesapeake Drrve•Redwood Crty,CA 94063•(415)364-9600 ❑ 18939120th Ave,N E.Suits 101•Botha.WA 96011•(2%)4149'" <br /> UNOCRL (D ❑ 819 Stniker Ave,Suits 8.Sacramento.CA 95834. 916 921-9600 ❑ East 11115 Mord • <br /> ( } gomery,Sots 13 Spokane.WA 99206 (509)924-3200 <br /> D 1900 Bates Ave,Sufte LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S W Sequoia Pkwy,SuRe 110•Portland,OR 9T222•(503)624-9800 <br /> [City <br /> ompany Name (7 e v S t''c.f t ff, e: r c Project Name -17 Z7 c <br /> ddress �C'�f �s�c fir, ;� . G' UNOCAL Project Manjjager , ,ti„� t� •.J c4- c A <br /> `.e..c ;,n .fir t, .in State r'r? Zip Code r.�6 7 D L -1 L' <br /> Telephone. E; - % f`/ FAX# Site# to <br /> R Ln <br /> rtTo rr` � Ct`'•'�''� kampler ��f fry 19C Data. Level A(standard) ❑ Level B ❑ Level C ❑ Level D U u' <br /> Tumaround A 10 Working Days ❑ 2 Working Days ❑ Drinking Water [Analyses R uested 0- <br /> Time: ❑ 5 WorkingDas m <br /> Y ❑24 Hours ❑ Waste Water Fn <br /> ❑ 3 Working Days I] 2-8 Hours ❑ Other • �� co <br /> --i <br /> Client DatefTime Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Cant Type Sample# �� �`� Comments <br /> J -t•--qql to.i9 t t ,{�s 51 to as Lmn <br /> 2 l - �I !. -�-y� to t `,� : 1 <br /> l � <br /> ' N ' <br /> 4 � -'rflAi t 5 p -� v C <br /> 5 1� - � �^ f-F- vf 9 Ufa m CD <br /> } m <br /> A CD <br /> B - t��• 7- L lel rf 1� o "[ <br /> 7 f J <br /> s <br /> ri0 o <br /> Cr <br /> D <br /> Relinquished By ,'I/t / �r,<` �� Date 9`l Time /r!E /G Received B rime <br /> Relinquished By Date Time Received By Date rime <br /> Relin utshed By Date Time I Received By Lab I Date ime <br /> Were Samples Received in Good Condition'?O Yes❑No Samples on Ice? O Yes ID No Method of Shipment Page_of_ <br /> To be competed upon receipt of report Ln <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? a Yes❑No If no,what Was the turnaround tine? <br /> it Appfo by Signature Company Dat <br />