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2, <br /> V <br /> i <br /> UNOCAL 690 Chesapeake Drive•Redwood City,ICA 94063•(650}364-9600 ❑ 18939 120th Ave,N E Suite 101 •Bothell,WA 98011 •(206)481-92 00 <br /> ❑819 Striker Ave.Suite 8•Sacramento,CA 95834•(916)921 9600 ❑East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 <br /> 1 ❑404 N Wiget Lane•Walnut Creek,CA 94598��(925)988-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222 (503)624 9800 <br /> El 1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792 1965 , <br /> I IE H <br /> Consultant Company G Project Name ro rir+er On ej cQ <br /> Address <br /> � �,� S'��,17'q �u>�� -S , f'.L � UNOCAL Project Manager M r. 94611' 9C.Os'f <br /> City .�)u 1)It n State (Q. Zip Code J' ,,1r'E g AFE # <br /> Telephone(gL,f) ss/- -7.5-5-.r FAX q��r)f r.3-J -?-r 99 Site #, City, State 5-60G /�Qc• 'PC S{oC-� D <br /> 11 <br /> 1' IJ U <br /> Report Tob�.n0 q �-. At/'pIr h Sampler Va t fk�, %S/� Q n QC Data Level D (Standard) ❑ Level C O Level B ❑ Level A , <br /> Y <br /> Analyses <br /> Turnaround 10 Work Days C)5 Work Days ❑3 Work Days ❑ Drinking Water nested <br /> Y Requested <br /> Time O 2 Work Days ❑ 1 Work Day, C32 8 Hour's �A Waste Water <br /> CODE: O Misc ❑Detect ❑ Eval Remed 0Demo1 0 ❑Other Closure +� <br /> Client Date/Time Matrix # of Cont Laboratory �� Comments <br /> Sample I D Sampled' Desc Cont Type Sample # <br /> 1 AW - /�~ 4f 16 i�ptwr L a 2 VM )( o <br /> ro <br /> q <br /> 2 <br /> co <br /> 3 MGA <br /> (Cl s' It <br /> 4, 2 � <br /> 4 Awl I D 4 y�pM �i o <br /> 5 ww- LIS i�f x <br /> 1 X - <br /> s W_ Z1 Ay 2 ; <br /> 7 <br /> 8 M W• ZZ .� Q`��fl� ti �' it <br /> � <br /> I �Gib&a 6611, ]/� L <br /> JJ i` ♦ ! b <br /> ti <br /> 1DI n <br /> ro <br /> Relinquished By Date 9 I �I Time3-� eceived By Date Time m <br /> Relinquished By mat tic �f Time Received By " ` Date Time <br /> Relinquished By Date' I Time Received By Lab C S�} Date CtI J Time <br /> Were Samples Received in Good Condition's Yes ❑No Samples on Ice'? Yes ❑No Method of hipment � N `n Page of L <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chain of Custody reported'? ❑Yes ❑ No If no, what analyses are still needed <br /> 2)Was the report issued within the requested turnaround Ume? ❑Yes ❑ No If no, what was the lurnaround time? <br /> ppro y Signature Company Date r <br />