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O 680 Che-,apeake Drive•Redwood Gty,CA 94 $15)364-9600 Q 18939 120th Ave,N E,Suite 101•Bothell,WA 98011 � )481 900 <br /> ` <br /> UN <br /> IJERL ❑ 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-9600 ❑ l=ast 11115 Montgomery,Suite 8•Spokane,WA 99206•(509)924.9200 <br /> O 1900 Bates Ave,Suite LM•Conoord,CA 94520•(510)686-9600 ❑ 15055%W SNuora Pkwy,Sude 110•Pore",oR 97222•(503)624-9800 <br /> Company Name <br /> 6-C-0CJk�e #td -Ac' Project Name <br /> Address 3p'j �'ivS eG� �- - I/, s'{r_ PO UNOCAL Project Manager. TyVIVhw C <br /> City rJt� d`tll.State zip Code Y 1 of <br /> Telephoneb3� fL3� � FAx # <br /> Report To 1.� <br /> �+ - ,, Sam lei 9- CQC Data Level A (Standard) ❑ Level B ❑ Levet C ❑ Level D <br /> Turnaround 10 Working Days ❑ 2 Working Days ❑ DrinkingWater <br /> Time. ❑ 5 WorkingDas Anal ses Re uested <br /> Y ❑ 24 Hours Ell Waste Water <br /> ❑ 3 Working Days ❑ 2-8 Hours <br /> C) Other <br /> 4y <br /> Client Date/Time Matrix { # of Cont Laboratory �' �, V <br /> Sample 1 D Sampled Desc Cont Type Sample # Comments <br /> t uj "' 3t' .� � �rt� Ib•� �! � �tilti �G�-�{Q <br /> 2 uj •S ��-�f I�: c <br /> Sf0z <br /> 3 Ut —ISrSLL 41/1' <br /> 4 1A 7, 0. r ry�j II'sf -414 <br /> X X <br /> els. S <br /> 8 Uta -36 - x X <br /> 'Elix <br /> Relinquished By Date��/9 Time D Received B Date / Time /Q d <br /> i <br /> Relinquished By Date Time ISO D Received B f Date Time <br /> Relinquished B4 Date Time* Received By Lab -C• Date rme Ila <br /> Were Samples Received in Good ConditionMYYes O No Samples on Ice? des 0 No Method of Shipment Page 4,--of'� <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes 0 No If no, what analyses trd still needed? <br /> 2) the report Issued within the requested tumaround time? Q Ye o If no, what was the tumaiound time? <br /> ADDrov v fiinnnh rra r•.,r.,.,�.,.. <br />