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u orsu�nesapeaKeurrve•neowoua�,iiy,�H pod•141b)db4-9bUU U 189J9120thAve,NE.Suite101••Bothell,WA 98011 • 206 481-9200 U ��j ❑ 819 Striker Ave,Suite 8•Sacramento CA 4 (916)921-9600 ❑ East 11115 Montgomery,Suite B Spokane,WA 99 (509)9249200 1 ❑ 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)6249800 Consultant Company Ge AA� ^ K`e• TAS T 2�q6 Project Name �r.,,.e , Vxoe� f -fu ci l i SUq Address 6 q q S;c r r�u �` 4 g , UNOCAL Project Manager Mr God f3ouIT City tJw t, State Zip Code 9�S6 Q� AFE # c n� Telephone 9 2-5'- Sal - FAX# `Tzs-T5'1-30gej Site #, City, State e•t0e S'kt�t U Report To E}�.•d�� Sampler ✓'2ZA S r`�s /'�`�' QC Data 0 Level D(Standard) ❑ Level C ❑ Level B ❑ Level A C a Turnaround 10 Work Days ❑ 5 Work Days 1:13 Work Days ❑ Drinking Water Anal s ested 07 b 01 Ok 0 1 Time- ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours � Waste Water CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demo] ❑ Closure ❑ Other ` i Client DatelTurte Matrix #of Cont Laboratory ID Sample I D Sampled Desc Cont Type Sample# Comments O 1 TB— q11 Ogg o .°o N�., t! 4 IHLtf f ll:r t' � S� W4 �( o - s NW, 13 6 M 14 '. 'f �� X 7 57 4 TlOS#*1 8 14fkk, �a 4 la,z�i4 -�' 000 s 10�E[T.4 CALLE6 Sr' ►Ai4 cb 0 Relinquished By A Date T1s 9 7 Time ; 'Received By Date Time 71, m Relinquished By Date a Received B Date Time Relinquished B Date Time 1 Received By Lab Date rsf/l�Mme 19 'V�o Were Samples Received in Good Condition Yes❑No Samples on Ice? Yes❑ No Method of Shipment 14[A .tN Page of To be competed upon receip depart 1) Were the analyses requested on the Chain of Custody reported? ❑Yes Q No If no, what analyses are still needed? 2) Was the report issued within the requested turnaround time? ❑Yes Q No If no, what was the turnaround time? Approved by Signature Company Date: