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U■6► ii n 618(1 Chasapeake Dmnc•F1ec[Auvd City,CA 94063•(01)0)W4 9500 U 18939 1701h Ave,N E Surto 101•13olhall,WA 99011 F(206)X181-8700 <br /> y0 13 819 SItUr Ave,5uila 8!Saommento,CA (916)(916)921-9800 O East 11115 Munl+gomary,Suite 13�Spokane.VIA 99206•(609)1324-9200 <br /> U 444 H Wrgel Lane•Wnl�ut Crony CA 94598 it(925)9B8 9600 U 15455 S{lir Sequoia Pkwy,Sw1s 110•Pastland,OR 97722•(5173)624-9800 <br /> U 1455 McDowell Mill Norih,9ulta a•Polatuma,CA 94954•(7D7)792-1865 <br /> GLOBAL iD# T060770000$ <br /> Consultant Company- Get ter--R at1 Ir1c�, Pmjscl Flame: <br /> j Former Unocal #3098 <br /> Address. <br /> Sierra Court S1rit'e J i UNOCAL Project Manager lick Iiiekerson 916-114-37D5 <br /> CllyRoblin State. CA alp Code, 945611 ASS # <br /> Telephone, j FAX#. li ]I 81t©# City.State <br /> 925-551-7555 925-551-7899 _ 95098, 5400 & 5606 Pacific Ave. , ton &C& & <br /> Report To De$ nn L. Hardin Sampler ' ?� QC Data, O Levelf❑ (standard) ❑Level C 0 Lovel B u Leve!A � <br /> Turnaround X 10 Work Days ❑5 Wodc Days' r3 3 Wolk Days 13er[nkfng Water An8Zys9s Ragllt3Sled EL <br /> Time, U 2 Work bays ❑Moak Day C312-8 Hiwrs �f <br /> ,i ❑Waste Wafer <br /> CODE: ❑Misc ❑Detect U Eval a Ramed i0 DernoO L]Closure other <br /> Uttent ' Dalafnrne Matrix �#!of Cont Laboralery �Y01Sample I D i Sampted peso Cont Type Sarnplo �t Comments <br /> 7-v - — - Revorl all waks <br /> 2,&,V- on 9260 Fat1 <br /> 3 1 I Stan <br /> 5. <br /> 6 <br /> 7 <br /> $ 1I 7 oxps—AtTB6„ <br /> 1BA.1))Pr PUP, <br /> 9 r 'cAMP 1.211(-A, <br /> EDD <br /> it <br /> Relinquished By: Date, a o Time flrp,4 Received By Date }ala�tl Time. 040c-) <br /> m <br /> 41,Relinqulshod By. Dahl )� I-b A Time 1 �1 Received By S'�e. Daley '1.. Time <br /> Hellnquished By. Cu DateI it ) -- <br /> Tfine , � Received By La r-� - Data.).21-) Time <br /> Were Samplos Recelved in G Canditron? .Yes U too y [l plus 147 We') d ll of E Page--of <br /> f i 11 <br /> To be oompTeted upon recalpt of report � <br /> 1)Were the analyses requested on the Ctlain'of Custody reporled? ❑Yas ❑No If no,what analyses are still needed? <br /> 2)Was the teporl Issued wilhln tho requosted;turnaround time? U1 Yes U No If no.what was the turriamund lime? <br /> Approv _ I Sig!natare Company �6Date <br />