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0 O 680 Chesapeake Drive-Redwood City,CA 94063-(4*9600 ❑ 18939 120th Ave,N E Suite 101 *Bothell WA 98011 -(206)4*0 <br /> UNOCALi M 819 Sinker Ave Suite 8-Sacramento CA 95834-(916)921-9600 ❑ East 11115 Montgomery Suite B-Spokane WA 99206-(509)924 9200 <br /> ❑ 1900 Bates Ave,Suite LM-Concord CA 94520-(510)686-9600 O 15055 S W Sequoia Pkwy Suite 110-Portland OR 97222-(503)624 9600 <br /> Company Name 6eA4,L< _ c c Project Name oyta co-, Z8 ,59 <br /> Address ;1 Q Goid7 <br /> UNOCAL_Project Manager N t CV N tC�ec-Sn n <br /> City ACA, C"'pU' State CA Zip Code 10,r-170 Release# � <br /> Telephone C�(9 I6) 6 31 - 130D FAX# L 6 6131- 1317 Site# 2 5 q Sic }Of% C <br /> Report To Vav tJ � Z Sam ler i�v t,4 ! Z QC Data Level D(Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal ses Requested a. <br /> Time ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours ❑ Waste Water <br /> CODE. I� Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure 13 Other <br /> Client Date/Ttme Matrix #of Cont Laboratory ` 1` rot <br /> Sample I D Sampled Desc Cont Type Sample # 00L yl Comments <br /> 1 5 �- n -z "°+ 1130 �a, `� Core ?C l 1) <br /> 2 0 <br /> 3 <br /> 4 3 <br /> 0 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 0 <br /> ct1 <br /> 0 <br /> Nehn tnshed B 2 <br /> y y ( Date �of Time << Received 8 # Date y e Time !,'�{US <br /> Relutquished By % Date 7 2 Time Received S �, l�Ale �� Time 30 -C <br /> Relitu tnshed f9 Date Time Received By Lab Date Mme <br /> Were Samples Received in Good Condition?O Yes O No Samples on Ice? O Yes❑No Method of Shipment Page of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? 0 Yes©No If no, what analyses are stili needed? -- -- - <br /> 2) Was the report issued within the requested turnaround time? 1:1 Yes❑No If no,what was the turnaround time? ------ - - --- - - - <br /> Atmrnvprt by Signalure Company _ _ Date <br />