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❑ 680 Chesapeake Drive•Redwood City,CA 940415)364 9600 ❑ 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 •04L <br /> 0 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924 <br /> UNOCAL <br /> ❑ 1900 Bates Ave,Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)6F <br /> n Name Project Name Owl p ' <br /> Compa y ��a� �y'l t u1 <br /> UNOCAL Project Manager a `� <br /> Address <br /> City State Zip Code Release# C <br /> a� <br /> Telephone IU FAX# 51D Site # Y <br /> rTurnaround <br /> ri To p Sam lerfata Level D (Standard) ❑ Level C ❑ Level B ❑ Level A❑ 10WorkDays �5WorkDays ❑ 3WorkDay ❑ Drinking Water Anal ses Re uested❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours ❑ Waste Water <br /> DE: ❑ Misc la Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure Other a� <br /> Client I Date/Time Matrix #of Cont Laboratory ` Comments <br /> Sample I D Sampled Desc Cont Type Sample# ?-1 <br /> i 0 <br /> o <br /> c>s <br /> 2 J <br /> 3 0 <br /> (D4 Y r <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 p <br /> m <br /> 10 ° <br /> cn <br /> ' Date - -qS Time ©WO Received B Date _ MTime <br /> Relinquished By CT— tRelinquished By Date HR-{5 Time S � Received BRelin uished Ba ime Received Date <br /> Were Samples Received in Good Condition? Yes❑ No Samples on Ice? <Yes a No Method of Shipment Page_of <br /> E <br /> completed upon receipt of report Were the analyses requested on the Chain of Custody reported? ❑Yes�I No If no, what analyses are still needed? <br /> Was the report issued within the requested turnaround time? U Yes❑ No if no, what was the turnaround time? - Date <br /> ved by _ —_ _ __--Signature _ —____ ___ __Company --- <br />