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. U 680 Chesapeake Dnve-Redwood City,CA 94063.0649600 U 18939120th Ave,N E,Suite 101 -Bothell,WA 98011 -(206) *00 <br /> UNOCAL / U 819 Sinker Ave Suite 8•Sacramento CA 95834•(9 16)921-96170 U East 11115 Montgomery Suite B-Spokane WA 99206-(509)924 9200 <br /> U 404 N Wigel Lane•Walnut Creek CA 94598•(510)988-9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222-(503)624 9800 <br /> Consultant Companya^ �h C- Protect Name uvo q1 2 g <br /> Address 3 fqp C a� Q % vie &.11 �C_ ` p UNOCAL Protect Manager <br /> City ,,, a �, o State CA zip code 4-!W7a AFE # <br /> Telephone Cq 4 631 - I3aa FAX# (q t6) 631- 131.7 Site#, City, State CAv <br /> Report To Nvt zaSam lerav�� t �Z o OC Data ig Level D (Standard) ❑ Level C ❑ Level B IJ Level A <br /> Turnaround Qg 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Re uested <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: IJ Mtsc ❑ Detect ❑ Eval ❑ Remed 121Demol FJ Closure Q Other ��1 <br /> Client DatefTlme Matrix #of Cont Laboratory �4 <br /> Sample i D Sampled Desc Cont Type Sample# �Q Comments <br /> 1 M W - Iq- C. i X <br /> 2 to w- Iq - 61 og37 <br /> 3 tAtu - [ 1 -66 /01g3 J <br /> 4 IMW - f _ o9y8 X X �l� o <br /> 5 M w- !LI - 76 oq�;SX <br /> r <br /> 6 Mw - �� - s6.5 few x <br /> 7 Mw -Iq <br /> e Mw- 14 - q! /!v Ito )C <br /> 9 Mw - IS - 6 bola X <br /> to Mu - I3 - II lvl� <br /> 0 <br /> L <br /> 0 <br /> 0 <br /> Relinquished By Date <br /> S 2 lot Time r(UD Received B L Date v Time l -� J <br /> } 0 <br /> Relinquished B Date /,,-,,Time Received e` l U Time L <br /> Relinquished By I Date ITime lReceived By Lab I Date ATime <br /> Were Samples Received in Good Condition?❑Yes 0 No Samples on Ice? 0 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' 0 Yes❑No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes 0 No If no,what was the turnaround time? <br /> Anr%rr%+Fnr1 11w cinnAlilrp Company Date <br />