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cj-'� 0 O 680 Chesapeake Drive•Redwood City, CA 94063•(650) 9600 ❑18939 120th Ave,N E Sults 101 •Bothell,WA 98011 -(2001-9200 UNOCAL L3 819 Striker Ave,Suite 8►Sacramento,CA 95834•(916)921 9600 ❑East 11115 Montgomery,Suite B-Spokane,WA 99206-(509)924-9200 0 404 N Wiget Lane•Walnut Creek,CA 94598•(925)988 9600 0 15055 S W Sequoia Pkwy,Sults i 10•Portland,OR 97222-(503)624-9800 Q 141)5 McDowell Blvd North,Suite D-Petaluma CA 94954•(707)792 1865 Consultant Company 6,& )Zx/c--o L,e- b k- Z76vg6 Project Name b1,p ey [fes SS # sa9 Address 6;LSf;t 51e rrq tit e-t S-tA r f:-- UNOCAL Project Manager ml-. ,5 Q 6 46,!&_It City &J b State �. Zip Code q qrS g AFE # Telephone(47,r) FAX #(9Ls') 5r.5- Site #, City, State 5Co6 Report Tob&eeA, C1 L r- Sampler !� ns,X QC Data Level D (Standard) ❑Level C ❑ Level B ❑ Level A G Tumaround $10 Work Days ❑5 Work Days ❑3 Work Days ❑ Drinking Water Analyses Requested Time, ❑ 2 Work Days ❑ 1 Work Day ❑2-8 Hoursa 'QWaste Water _ CODE: 0 Misc ❑Detect ❑ Eva[ �Remed O Demol ❑Closure ©Other Client Date/Time Matrix # of Cont Laboratory ID Comments Sample I D Sampled Desc Cant Type Sample # ` 1 7B - z-'6 lllIf:.� v& Q X 2 Mw- 10 1 P K X 3 14 IN— ! 14 ° M 4 � 6 A v- 13 7 MW- 1 IT e W- N4 11tin 'f�► k Z Y Ow 10 t�frv•t �, 1 ZP '� �- t X o p 07 Relinquished By Y/ `i Date V06 Timeecelved By Date Time m F,CC��YYLLVV � Relinquished By Date Time Received By R Date Time s� Relinquished By Date Time Received By Lab Date � �� Time Were Samples Received in Good Condition? *Yes ❑ No Samples on Ice? `t Yes ❑ No Method J Shipment " Ir Page of ti To be completed upon receipt of report 1)Were the analyses requested on the Chain of Custody reported9 ❑Yes ❑ No If no, what analyses are still needed? ' Was the report Issued within the requested turnaround t{me? ❑Yes ❑ No If no, what was the turnaround time? roved by Signature Company Date