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.j bbU l,l i�sdpeake lhtve•Fiedwooc]t ity LA 9 .1•(415)Jb4 9b00 u 16939 120th Ave ,N E Suite 101 •Bothell,WA 9801 t <br /> U els s <br /> tnker Ave Suite 8•Sacramento CA 4 •(916)921 9600 Q East 11115 Montgomery,Suite B•Spokane,W 9920 w <br /> UNNGAL <br /> u 1900 Bates Ave Suite LM•Concord CA 94520•(510)686 9600 U 15055 S W Sequoia Pkwy SOge 110•Parlland OR 87222•(503 <br /> Company NameL t ul 1 Project Name � <br /> � <br /> Address <br /> UNOCAL Project Manager Q `� <br /> City State Zip Code L( Release # <br /> a� <br /> Telephone IU -- FAX # CO <br /> Site # U <br /> Q QC Data Level Q (Standard) ❑ Level C ❑ Level B ❑ Level A c <br /> Report To �00— Isampler d <br /> Turnaround 1:110 Work Days 0_5 Work Days ❑ 3 Work Dayd ❑ Drinking Water JAnalyses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc gWetect ❑ Eva[ ❑ Remed ❑ Qemol ❑ Closure 0 Other a� <br /> Client Date/Time Matrix # of I Cont Laboratory Q `' Comments <br /> Sample I D Sampled Desc Cont Type Sample # z, <br /> 50 <br /> 1 <br /> 0 <br /> 2 J <br /> 3 0 <br /> 4 <br /> r r <br /> 5 <br /> 6 <br /> 7 <br /> B <br /> 9 0 <br /> 10 0 <br /> c� <br /> - -qS Time © Received B <br /> Date - Time OSL(v <br /> Relinquished By Date <br /> Date I—)9-9S Time S � Received B Time 3: , <br /> Relinquished By a�O i <br /> Relinquished By- ime Received <br /> Date Time <br /> Were Samples Received in Good Condition? Yes❑No Samples on Ice? YY <br /> ❑ No Method of Shipment Page_of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? O Yes❑No If no, what analyses are still needed? — - <br /> -2) Was the report issued within the requested turnaround time? ❑Yes Cl No If no,what was the turnaround time? --- <br /> Approved by _ _ Signature -Company __-- _ _ _ _ _ _Date _ — <br />