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ij 6110 Chesapeake 11we•Redwood City CA 9411b3 0364 9600 1 189.39 120th Ave N E Suite 101 •Bothell WA 98011 •(1ob*i (n) <br /> UNOCALU 819 Sinker Ave,Suite 8•Sacramento CA 95834•(916)921-9600 U East 11115 Montgomery Suile B•Spokane WA 99206•(50Q)9,'l 9200 <br /> tt <br /> U 1900 Bales Ave,Suite LM•Concord CA 94520•(510)686 9600 IJ 15055 S W Sequoia Pkwy Suite 110•Portiand OR 97222•(501I 011 T34 X) <br /> Company Name Ca Project Name V'Ae,c�1 2g C 9 <br /> Address 31 q0 G lC� 'D r t ve ( p UNOCAL Project Manager <br /> City VA, (�� �y State Zip Code %670 Release # <br /> C <br /> Telephone (9 t 6) 13cya FAX# CQ 16)l 63(- 191-1 Site# Z8 G9 ( v <br /> Report To Dj a {�er-z Sam ler C�au�� 1'�ef La OC Data PA Level D (Standard) ❑ Level C ❑ Level B ❑ Level A c <br /> Turnaround X 10 Work Das L) 5 Work Das ❑ 3 Work Days Y Y Y ❑ Drinking Water jAnalyses Re nested <br /> Time IJ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc IJ Detect 1-1 Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other , <br /> i <br /> Client Daterrime Matrix #01 Cont Laboratory V1 4 <br /> Sample I D Sampled Desc Cont Type Sample# 1`Q Corrtments <br /> Y L, <br /> 1 W _ I S ZZ-dl 1[S,r �� C01`2 1\ p <br /> ca <br /> 2 Mw _ IS - '1 lZaD x <br /> 3 Mu-)- 16 - 76 1205 <br /> 4 Mw (8 —$1 IZIS <br /> 5 Mw _ 16 -90 f f120 x <br /> 6 <br /> 7 <br /> 9 <br /> z <br /> fl <br /> 10 <br /> 0 <br /> Relinquished By ate S 12o Time 11CfD ReceivedBy Date Time I J <br /> m <br /> Relinquished By Date '� Time L Received Date S Time 2� <br /> Relin uished By Date iTime I Received By Lab Date Time <br /> Were Samples Received in Good Condition?U Yes U No Samples on Ice? ❑Yes U 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? U Yes U No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? U Yes U No If no,what was the turnaround time? -- — – <br /> AnnrovPrl by Signature Company _ _ _ _ w Date <br />