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10 U 680 Chesapeake Drive•Redwood City CA 94063.064 9600 U 16939 120th Ave,N E Suite 101 -Bothell WA 98011 •(206)000 <br /> UNOCAL , 819 Striker Ave,Suite 8•Sacramento CA 95834•(9 16)921 9600 U East 11115 Montgomery Suite B•Spokane WA 99206•(509)924 9200 <br /> U 1900 Bates Ave,Suite LM•Concord CA 94520•(510)686-9600 U 15055 S W Sequoia Pkwy,SuRe 110•Portland OR 97222•(503)624 9800 <br /> Company Name Geller-r R W lwc Project Name VV �•��9 <br /> Address D Id r 5ui ie, 70 UNOCAL Project Manager <br />� <br /> /�City � N' p (,C�Y'dQ)/ State Zip Code q 5 Release# <br /> c <br /> Telephone <br /> — (ADO FAX # --rel 7 Site # q S -0 c �avj A v <br /> �J YI <br /> Report TISampler 09aq R)756-1 QC Data FLYLevel D(Standard) ❑ Level C ❑ Level B U Level A C: <br /> a <br /> Turnaround 1Jd 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal ses Requested-1 <br /> Time IJ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: F.,] Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other <br /> Client Date/Time Matrix #of Cant Laboratory <br /> Sample 1 D Sampled Desc Cont Type Sample# �'Q ' Commt'nts <br /> i rmVV—)* — l �y� 5�1 1 y S 11 1 K hY SPA I <br /> I CU <br /> 3MtV-1 (b© # i X <br /> a K Z1 0# - o <br /> 5 VY-) 25 01 5 l ldfd !1 ! X <br /> i o f (a x7)Ut 101 <br /> 8 rY—I�LdL �f ! 1 rc, <br /> 9 <br /> 10 m <br /> 0 <br /> a <br /> Relinquished By Date IC12 of Time IIcrb Received B Date 2 Time t L)v 7i <br /> Relinquished Byr Date 1 1� u Time 2 �i7 Received B t ��lo� Tin1e L <br /> Relinquished Date Time Received l3 Lab Date Tune <br /> Were Samples Received to Good Condition?0 Yes O No Samples on Ice? U Yes❑No Method of Shipment Page � of <br /> I <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? 0 Yes 0 No If no, what analyses are still needed? - <br /> 2) Was the report issued within the requested turnaround time? 0 Yes 0 No If no, what was the turnaround time? -- -- -- --- <br /> �fnrlatt IrP Companv Date, <br />