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rr rrl� rr re ur r� ilr r �r r rr r rr r <br /> El 680 Chesapeake Drive•Redwood City,CA 94063•(650) 9600 0 18939120th Ave, N E Suite 101 •Bothell,WA 98011 •(20 81 9200ar <br /> UNOCAL ❑819 Striker Ave,Ave,Suite 8•Sacramento,CA 95834•(916)921-9600 ❑East 11115 Montgomery, Suite B•Spokane,WA 99206•(509)924-9200 <br /> ❑404 N Wiget lane•Walnut Creek,CA 94598•(925)988 9600 0 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> O 14515 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 <br /> Consultant Company Vi Ir ,3),/t Project Name OZ-7-e7 o:;✓� <br /> Address 73 'Di G.iS, a� UNOCAL Project Manager 3 >- <br /> City State Zip Code AFE # <br /> Telephone �� �$Z _ �c• FAX # �� Z _ Site #, City, State r "Lc�� 6-4 <br /> Report To Va W r�tic.c-� 5ampler p, 3` _ QC Data .Level D (Standard) C1 Level C ❑ Level B ❑ Level A U <br /> Y <br /> Tuurnaround �10 Work Days ❑5 Work Days 0 3 Work Days 0 Drinking Water Analyses Requested � <br /> Time- EI 2 Work Days El Work Day ©2-8 Flours � a <br /> D Waste Water <br /> CODE: 0 Misc. 0 Detect ©I-val 0 Remed ❑ Demol O Closure 0 Other o <br /> Client Date/Time Matrix # of Cont Laboratory ���t l'' Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 jt,� ZIT I 231 �sl4flTZ— �j o <br /> ti z �� - 7ca <br /> �' <br /> 4 r O <br /> 6 <br /> CODIERGl�S'�OD IN AC Ct <br /> 8 lER � R <br /> 9 0 <br /> 10 <br /> L <br /> on <br /> Relinquished By , ate Time Received By /��/�Ic Date Time r� w <br /> Relinquished B L <br /> I q y �7��;,��.r-_ Date ���I Time ��'�+� Received By � Date Time � <br /> Relinquished By Date Time Received By L �T ' Date .7 Z Time <br /> Were Samples Received in Good Condition? ❑Yes ❑No Samples on Ice? 0 Yes ❑No Met od f Shipment Page IL of L <br /> To be completed upon receipt of report 1-1 <br /> 1)Were the analyses requested on the Chain of Custody reported? 0 Yes ❑ No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes 0 No If no, what was the turnaround time9 <br /> Approved by Signature Company Date <br />