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MOCAL <br /> U 885 Jams NVO&Iwarrfan t1l I.CA 95437&(108)776 9604• (449}182 6948 0 16933 fWth Ave.N E suds 101 '60thell,VJA 0011•7:r <br /> ❑819 Slrnker Ave,Suite 8+S80rarnerilo,CA 85834•(81rf)M-oWo Q East 11115 Hluntgomery,SuFle r3-Sp0kan%WA!D9206•(509)924 9200 <br /> Q 404 N Wger Lane+Walnut Cteek CA 94596•(925)988-9609 ❑15055 S W S09U010 Prov};Suite 110•Porllartd,OR 91=d(5o3)624 98W <br /> ❑ 1455 McDovreli Blvd North Suite O P PewLima CA 94954+(707)792-1865 GLOBAL ID9 70607700008 <br /> Consullant Company Cettler-Ryan Inc. Project dame Former Unocal 54913, 5606 Paciftc Ave. <br /> Addross 6747 Sierra Court, Suite i --- UNOCAL project Manager(required). N1ck Nickerson 916-714-3205 <br /> Clly tluh.liu Slate CA Zip Code 94568 APE# <br /> Telephone. 925-551--7555 FAX 4 925-551-7899 Site Y. City,Stato ff5048, 5606 Pacif-ic Avcnue, Stockton, CA ncs <br /> Retort To Deanna L Harding [Sampler QG Data ©Level D{Slandand) C3 Leve}C U Lovol B U Level A <br /> F <br /> Turnaround �n Wwk Days ❑5 Wart,Days W U 3 Work!Days U Drinking Water Analyses Regia ted <br /> Time: Q 2 Work Days O 1work Flay [�2 8 Hours o- <br /> U Wade Water .5) <br /> CODE: ❑tvlisc U Datect U Eval U Sonied U Demo1 U Closure U Other <br /> Client D 1 f! <br /> atefT mE Matrix #Of Coat Laboratory <br /> Sample 10 Sampted C}Osc Cont Type Sample# �� �� ,..�� l.�` Comments <br />! 1 - is o-� I,nfr-cv we $ C-L,5 r <br /> _ 70 .-5-riTnE � <br /> 2 �- 3 - — 7I3A,1 aNr_ETnt v <br /> 3 Mw- Fit <br /> TAME k ZMA, <br /> 5 V " Al 3 � �j� � � -Q15 - "Wit 3tt peaks <br /> 0o 820 Noll <br /> _M Soll <br /> icy W 43 P 0 C S <br /> Relinquished By Date Time] Receive �e <br /> 1 � Time � <br /> Relrn>iulslled By Date Time_ Rocewed By Date � <br /> Time <br /> Relinquished By Date Time Received By Date Time <br /> ' Were Samptes Received in Goad Gondition? IkYes U No Samples on Ice? Ayes 0 No Method of Shipment Page�01 <br /> To be completed upon receipt of report <br /> g <br /> 1)Were the analyses faquesied on the Chain of Custody reported? ❑Yes 0 No if no,what analyses are 51111 needed? _ <br /> 2)Was the reparl issued within the requested turnaround thio? Cl Yes o No It no,meat was the turnaround lime? <br /> Approved by 115Signature: mparl G <br /> Date. �a <br /> I <br />