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I <br /> 11 I <br /> 1 <br /> U 885 Jarvis Drlvo, gan t1,ll,CA 9503711-[4081776"16D0•FAX(405)lTaN 8 ❑18939 420th Ave,N C Suite 141 +Bothell.WA 96011 •(206)494- 200 <br /> U N010'I; L C!$19 Sinker Ave,Su ilo 8+Sacramenlo,&95834•(916)921-9600 ❑f=ast 41115 Montgomery Suite B+Spokane 1NA 99200-(509)3124-9200 <br /> 0 404 N Wiiger Lane*Walnut Croak,CA'9459811[M? 99&96}0 ❑15055 S W Sequoia Pkvry,5ulte 110+Portland,OR 972?2-(03}624 98W <br /> Q 1455 rvlcDmvoll RW North,Surte D■Petaluma CIL 94954•{707)7g?-1805 GLOBAL TDO T0607700008 <br /> Consultant Com an Project Name <br /> , P y Cet:tier--Ryan Jne. Former Unocal 15098, 5606 Pacific Ave <br /> Andress 1 6747 Sierra. Court, Suite UNOCAL Project Manager(required). tick Nicketsori 916•-714-- 205 <br /> City i7ubJ a a Siete CA ZIP Codo 9$S68 A#`ir11 <br /> Tolophona 425=551-7555 it FAX it i' 925-5511-71399 Site##, Clty,-tate#5098, 5606 Pacific Ave. , Stockton, CA _ <br /> Repoli TO Deanna L. Harding Sampler a� 11 r QC Qi3fia ❑revel d(Stannard) ❑Level C ❑Level t3 ❑leve! A <br /> x <br /> �y[`� r ' c <br /> Turnaround !��0 Wolk Days U 5 Work Days I U 3 Work Clays ❑Drinking Water Atlaly9 # oquested <br /> Time, ❑ 2 Work Days U 1Work Day I U 2-8 Nnu'rs t r1 <br /> I II ❑Waite Water <br /> CODE: d tvllsc ❑Detect ©Fuel G1iemed 7 Detrol i0 Closure ❑Other N - T b <br /> Client Dateffirne Matrix 1 # of Cont Labormtory r <br /> Sample 10- S�mpted Dese r Con] T e ',ample#i ,. �r�NN` comments <br /> tJALUWf �I n <br /> f r <br /> �l X'XI X X -NIME, <br /> 113x1 DIPS CTI1F I <br /> -- — _ iANIF.I.?DCA <br /> 8 <br /> 0 <br /> 5 � •^ i f � (' � "�� �-- -- - ---- R��wrt ali peflks <br /> on&2GU 1 uli <br /> Ss9a <br /> W'r` _ <br /> i <br /> I <br /> 9 MW <br /> 0 <br /> I If t as <br /> Reltngalshed By, t ate (_ TirneV) Recery d� �j �Tirine <br /> X12 1 <br /> ReLnqu,sftod By p date I Ttrrie- Recelved By- Dale Tirno <br /> t <br /> iRehnqulshed By Bate I Trmle. rlecewv d By " Date Time -' <br /> I ! w { <br /> Weie Samples Received in Gond Condi OR? )A Yes ❑No j� Samples do tce7 ' Yes ❑No h1e]tlatl at Slttprlient Page_of <br /> To be Completed upon receipt of report; P f <br /> 1)Were the analyses requested on the Chain of CU5t0d7,1rep0rled U Yes U No If no,what analyses are still needed? <br /> 2]Was the repgii Issued wrttifn the requested iurnaround time? Q Yes Q No It no,what was the turnaround Time? u ' <br /> At}Arov by.��7+a* l�.�7L�iIS,P� k S19n lure�t2" CompanY <�; Data- 3 <br />