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0 <br /> U 680 Chesapeake 11wo-Redwood City CA 94063 0)364 9600 U 18939 120th Ave N E Suite 101 -Bothell WA 98011 -(206a200 <br /> UNOCAL <br /> UOCAL • U 819 Sinker Ave Suite 8-Sacramento,CA 95834-(916)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 Ll 15055 S W Sequoia Pkwy Suite 110-Portland 09 97222-(503)624 9800 <br /> Company Name �72 ��lr - o j C- Project Name U IAoc'k Z ggg <br /> Address 3jg0 -ioIJ Cam L2 D r I L& sc,,�e- 11-70 UNOCAL Project Manager "%C�- t%Aic)g-prSan <br /> City State C/t Zip Code 91�6"70 Release# <br /> Telephone 916 631 - 130-o FAX # q IL) 631- 1317 site# z a s S k'1 v <br /> Re ort To fDC'.\jLd 14cc z Sam ler �� Za OC Data tWevel D (Standard) ❑ Level C ❑ Level B I� Level A <br /> Turnaround 10 Work Das ❑ 5 Work Das ❑ 3 Work Das a <br /> !�� Y Y Y ❑ Drinking Water [Analyses Re uesied <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water 1� <br /> CODE- IJ Mise f.-1 Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other `t}� <br /> Client Datef ime Matrix #of Cant Laboratory <br /> Sample I D Sampled Dese Cant Type Sample# A � Comments <br /> t Mw - 1q - 6 GM <br /> q l X <br /> 0 <br /> 2 M 1,u - it/ - I 1 og 0 <br /> 3 M w - !� - 16 (0867 X <br /> 4 Mw - ly - 21 0903 <br /> 5 Mw - fq - 26 0906 <br /> 6 m uj - 16,910 X }C <br /> 7 (Aw -1q- 36 fog 14 1 -- x <br /> 9 Mw - !q - q6 0921 OILX <br /> 10 ZS LL I X I X It <br /> ro <br /> a <br /> .n <br /> Relinquished By Dale V2 of Time 1 10-0 Received By Date Time �v <br /> Relinquished By Dale Time Received B e Time <br /> 30 <br /> Relinquished By Date ITime lReceived By Lab Date Time <br /> Were Samples Received in Good Condition?U Yes 0 No Samples on Ice? Q 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? C1 Yes 0 No It no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes❑No If no, what was the turnaround time? -- - - <br /> AST -t h„ ';ignallire Company --- - -- - Dale <br />