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0 U 680 Chesapeake Dave-Redwood City,CA 94063 10)364 9600 U 18939 120th Ave,N E Suite 101 -Bothell WA 98011 -(2060200 UNOCAL + U 819 Striker Ave,Suite 8-Sacramento,CA 95834-(916)921-9600 U East 11115 Montgomery Suite B-Spokane WA 99206-(509)924 9200 U 1900 Bates Ave,Suite LM-Concord,CA 94520-(510)666-9600 U 15055 S W Sequoia Pkwy,Suite 110-Portland OR 97222-(503)624 6800 Company Name CIC46C _ Tlirw O'nIt nc, Project Name j-)t,o Cal Z 8 Sq Address o a r1�,,p p UNOCAL Project Manager N CV City ,� �� u� State C P�r Zip Code 9 56 70 Release# c Tele hone (q 16) 6!'3 L -- r 3a a FAX # Caterr 63 1- 317 Site# 2-81QQ S CJ<A0^ c T Re ortTo T)av O ISampler Dv t j t� Z a QC Data Level D(Standard) ❑ Level C ❑ Leve! B IJ Level A Turnaround X 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water [Analyses Re nested Time U 2 Work Das ❑ 1 Work Day ❑ 2-8 Haurs ❑ Waste Water CODE- U Misc U Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other l�0,�1il�Client Date/Time Matrix #of Cont Laboratory Sample 1 D Sampled Desc Cont Type Sample# /� Xnts � 1 Mui - is -- Ib for? X11 [ CoM q X 2 fAW j$ - Z I Col x n° 3 Mw- rS - ZG 1102,2 1 x 4 M w - ra - 31 ro z5 3 0 tq 5 Mw - t�3 - 36 rrr5 6 0W -r8 - `� I +Zo X 7 Mw - Ja ' 4(6 rtZS8 Mw - (8 -51 �t3s X9 M w - r S -S6 r +'�� z 10 Mtn., - 0 Relinquished By Date S Uf Time ReceivedBy Date 7- 0 Time Relinquished 8y DateVef Time �Z -7 Received Bvapmca date 6Time r Relinquished Bv Date Time Received By Lab I Date ITime Were Samples Received in Good Condition?U Yes O No Samples on Ice? U Yes O No Method of Shipment Page of To be completed upon receipt of report 1) Were the analyses requested on the Chain of Custody reported? U Yes U No If no, what analyses are still needed? 2) Was the report issued within the requested turnaround time? U Yes U No If no, what was the turnaround time? -- - - DAM IS