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660 Uiesapeake Uirve•Rodwood City CA 9401,3.0649600 U 18939 120111 Ave N E= Suite 101 •t3otheil VJA 913011 •(206) 0 un <br /> UNOCAL10 J 819 Striker Ave Scute 8•Sacramento CA 95834•(916)921 9600 U East 11115 Montgomery Suite B•Spoknne WA 9q;)06•(509)9,1 V00 <br /> U 1900 Bates Ave Suite LM•Concord CA 94520•(510)686 9600 U 15055 S W Sequoia Pkwy Suite 110•Portland Cfl 97222•(`,03)6,11 nRnn <br /> Company Name e f[P !' 9 yeliv--X/V(, Project Name 1V19Ca J J F..9 _ <br /> Address i Gald �' S [ J 0 UNOCAL Project Manager �/^�l� �dCr'��I1yC`�n/ � <br /> City ,�� ��r �i' State [ - Zip Code a 1;6707 Release# <br /> Telephone U 1 b �` 300 FAX# (916) 01--13! 7 Site# 54cTan CA _ U <br /> Re ort Ta tl,� P'?'�ZO' ISampler '��,�J Yt�� ��J `S' QC Data ( Level D ('Standard) [.1 Level C IJ Level R I� Level A S� <br /> Turnaround 4 10 Work Days C.] 5 Work Days 1:13 Work Days I) Drinking Water Anal ses Re uested <br /> Time J 2 Work Das LJI 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> � <br /> CODE: U Misc Lf Detect L) Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other �� ��'►.0 <br /> Client Date/Time Matrix #of Cant Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# ��4Q, Comments <br /> CU <br /> 001 0111 Oi r ° <br /> 3 15, 0 a Vol oW `+►r` /` 3 X <br /> 4 M*J - 1f , s � 191 01a V11 I f ro cl Xo <br /> V,3 a j of t s X <br /> 6tAW- l IVI v l '! X (o <br /> U51dJ101 07 5a <br /> 10 VV--I-V —c4 a I OW I m55LD I ° <br /> L <br /> C) <br /> Relinquished Byate S 40I Time I Received B L i Date Z Time <br /> Relinquished B Date 5 Z e 'rime V.35 Received B to Time <br /> Rehr uished v I Date ITime I Received By Lab Date Time <br /> Were Samples Received in Good Condition?U Yes O No Samples on Ice? ❑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? U Yes U No If no,what analyses are still needed? <br /> 2) Was the report Issued within the requested turnaround lime? ❑Yes U No If no,what was the turnaround time? - -- <br /> Approved by _ _ Signature _ Company _A ___ Date <br />