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U 680 Chesapeake Drive-Redwood City CA 94063•(415 364 9600 U 18939 120th Ave N E,Sude 101 •bull 10 WA 9do 1 I •(eUu)4d 1 atuU <br /> © 819 Striker Ave,Suite 8•Sacramento,CA 95834•(91 9600 U East 111 t 5 Montgomery Suite B-Spokane,WA 99206+(509)9 0 <br /> W Sequoia Pk Suite 1 t0•Portland OR 97222•(503)624-9800 <br /> CA 94598. 510 988 9600 U 15055 S Pkwy U�O l] 404 N Wigel Lane Walnut Creek ( ) <br /> Consultant Company 2-t t'le�' a tA C- Project Name () V-1. 0 C" 1 28 51 <br /> Address ;iqc) C o�� �. 1`i�C 5�i�e 1`70 UNOCAL Project Manager N <br /> { �J_ dvc� `State C A Zip Code 567a AFE # <br /> City V11 nGv` �y U <br /> Tele hone (910 6-3 1 t FAX# (g 16)631- 1317 ISite #, City, State Z$ `t S k. kk,A C A <br /> a l o QC Data Level D (standard) ❑ Level C ❑ Levet B U Level A <br /> Ede ort To ���� z Sam lerz a <br /> Turnaround X9.10 Work Days U 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Re uested <br /> Time U 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water �1 4 <br /> CODE: IJ Misc ❑ Detect U Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other <br /> Client Date/Time Matrix #of Cont Laboratory k�� Comments <br /> Sample I D Sampled Desc Cant Type Sample# r L>, <br /> 5-21-oD <br /> t —.5"'1Cam 0 <br /> X o <br /> t4— - ►c -3 o9to I <br /> t L <br /> 2 Mw <br /> X <br /> 3 Mi.► - 16- 16 0qz0 <br /> 3 <br /> 4 Mw - I6 - 21 'One <br /> X <br /> 5 M w - [6 - 26 <br /> S X } <br /> 6 ttAw <br /> 7 Mw- lb - 36 093o <br /> 9 Mw -16 - 46 0 <br /> 1otw - 16� �[ d9�0 Q <br /> Relinquished By 1j2 <br /> Date S 2 01 Time �� Received B -i �/ Date ? Time <br /> Relinquished By Date <br /> 414 Time !2 Received 13 Time <br /> Relin uistle l3 <br /> Date Time Received B Lab Date Time <br /> No Method of Shipment Page of <br /> Were Samples Received in Good Condition?❑Yes ChNo Samples on Ice? Ll Yes U <br /> a be completed upon receipt of report <br /> 1) Were the analyses requestedon the he requestedIn of Custody reported? El Yes U turnaround 1 me? ❑Yes L1 No if no,what was o If no,what the)tu tuyses rnaround time Oea� - - — <br /> 2) Was the report Issued within tDate- <br /> Approved 5y - - - <br /> Signature _ _ _ _ Company _ _ - <br />