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U O/�� U 680 Chesapeake Drive-Redwood City,CA 94063•(650)364 9600 U 18939 1201h Ave,N E Suite 101 -Bothell,WA 98011 -(206)481-9200 LV E)819 Striker Ave, Suite 8-Sacramento,CA 95834•(916)921 9600 ❑East 11115 Montgomery,Suite B•Spokane,WA 99206-,(509)924 9200 ❑404 N Wiget Lane•Walnut Creek,CA 94598•(925)988 9600 ❑15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 ❑ 1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 Consultant Company (4t/er Zje2n .1nc., # iffO-0YS79r' Project Name rr»�el Address 64-V-? S)ar/-q CbL, ,-7 UNOCAL Project Manager &�� 4 c City buG/Ah State (3q. Zip Code AFE # 4a5 Telephone FAX --rk- &e97Site #, City, State ff rAxJb6n, C=L, c Report To Au. . . e. 1/.", Sampler f�� QC Data Level D (Standard) ❑ Level C 0 Levet B Q Level A v x Tumaround10 Work Days ❑5 Work Days ❑3 Work Days ❑Drinking Water Analyses Requested Time / CL ❑_ 2 Work Days O 1 Work Day ❑2-8 Hours Cl Waste Water CODE: ❑Misc ❑Detect ❑ Eval l4f Remed ❑ Demol ❑Closure ❑Other Client Date/Time Matrix # of Cont Laboratory Sample I D Sampled Desc Cant Type Sample # Comments 2 U- of �2F k -Y. 2- 'L p 3 t4Z Z - X J 4 U- 3 �>� ZX o 6 S x_ •• 7 IL a 9 `o �s 10 FT 0 n m a Relinquished By Date �� Time'ji Received By Date 2.ti�J TImQ i51 0 a Relinquished By VDate TimeP-100 Receive y Date Time Relinquished By ate lime Ree By Lab DaPe � C79 Time /7•0c)ceiv i Were Samples Received to Good Condition? ❑Yes ❑No Samples on Ice? ❑Yes ❑No Method of Shipment Page_of To be completed upon receipt of report 1)Were the analyses requested on the Chain of Custody reported? O Yes O No If no, what analyses are still needed? 2)Was the report Issued within the requested turnaround time? U Yes U No If no, what was the turnaround time? Approve Signature Company D