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❑ 680 Chesapeake Drive•Redwood City CA 94063•(4 9600 U 18939 120th Ave,N E Suite 101 •Bothell WA 98011 •(206)48 00 <br /> UNOC U 819 404N Wi <br /> Striker Ave Suite 8•Sacramento CA 95834•(9167�JL1-9600 U East 11115 Montgomery Suite B•Spokane WA 99206•(509)9 0 <br /> U 4D4 N Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 U 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9 <br /> 800 <br /> Consultant Company ytC Project Name vNo � 2 <br /> Address 31qt7 GoO {`tve, Sc,� l70 UNOCAL Project Manager <br /> City P, 0,,,: Stale CA Zip Code 9,56-7 p AFE# LD <br /> Telephone 916 E 9 1 -13crt:> FAX# (9 th) 631 - 131-7 Site#,City, late U Si S�c1� A v <br /> Re ort To <br /> [�,.,,b Sam ler ��� l QC Data Dar Level D (Standard) ❑ Level C ❑ Levet B IJ Level A c_ <br /> � <br /> Turnaround X 10 Work Days 1:15 Work Days ❑ 3 Work Days ❑ Drinking Water lAnalyses Requested <br /> Time IJ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water \-1 <br /> CODE. IJ Misc. IJ Detect U Eval IJRemed ❑ Demo[ ❑ Closure ❑ Other �. Q <br /> Client Date/Time Matrix # of Cont Laboratory ' <br /> Comments <br /> Sample t D Sampled Desc Cont Type Sample# z <br /> S'zi'at1 <br /> 1 Mw -16- SSS Oq�`l a, �'� X L <br /> r` ! 0 <br /> 2 MW - 16 <br /> 3 (4 w - 16 - 46 046q x <br /> 4 taw - r� -71 ?66 <br /> s M1,. - 16 --76 //ov <br /> 6 I%Lu - rb -8 r !o!o <br /> 7 M to - r6 >36 l/015 <br /> 8 fA w 16 - 70,4 A /o2- <br /> 9 0 <br /> 0 <br /> 10 0 <br /> S] <br /> J <br /> Dale S 2 vt Time !lclD Received B �, Date 0 Time ! �a <br /> Relinquished By _ + <br /> EE Date v Time (2 Received ate 1 ) Time 1 <br /> 13LA11utui5hed By l ' <br /> Fii:luu ui5liecl By I <br /> Date ITime Received By Lab I Date iTinie <br /> Were Samples Received in Good Condition?a Yes U No Samples on Ice'? U Yes❑No Method of Shipment ___ Page of _ <br /> Tobe completed upon receipt 01 report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑ No If no,what analyses are still needed? <br /> 2) Was the ieport issued within the requested turnaround lirne? V Yes L!No If no,what was the turnaround time? <br /> Approved by <br /> Signature __ _ _ ____ Company _ Date <br /> -- _ _.��. <br />