Laserfiche WebLink
U 680 Chesapeake Drive•Redwood City CA 94063•(650)364-960is U 18939 120th Ave N E Suite 101 •Bothell WA 98011 •(206)481 9900 <br /> UN O C ` U 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-9600 U East 11115 Montgomery,Suite B•Spokane WA 99206•(509)924 <br /> U 404 N Wiget Lane•Walnut Creek CA 94598•(925)988 9600 U 15055 S W Sequoia Pkwy Suite 110•Portland,OR 97222•(503)624 9800 <br /> U 1455 McDowell Blvd North Suite D•Petaluma CA 94954•(707)792 1865 <br /> Consulta6ntComipany � J � Project Name /4165 <br /> Address �, /�19— �av �Ui�� UNOCAL Project Manager <br /> City State Zip Code S(, AFB # <br /> Telephone �, <br /> '— FAX # S— Site #, City, State '� a <br /> Report To - ;-3, Sampler dL OC Data evel D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> U <br /> x <br /> Re � <br /> Turnaround �t0 Work Days U 5 Work Days �3 Work Days U Analyses nested Drinking Water Y q d <br /> Tlme: ❑ 2 Work Days ❑ 1 Work Day ❑2 8 Hours 0 Waste Water <br /> CODE: ❑Mlsc U Detect 0 Eval U Remed ❑Demol U Closurether <br /> Client Date/Time Matrix # of Cont Laboratory Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> � i 2 <br /> � 9 c, 4SS� �f� l Uf:—rl215 <br /> 2 -- y7Its of 1A'i .� .'' 1 y z a� x�l� ca <br /> 3 u a a4fi� rte.as o <br /> a c CrJ '7k rL <br /> 5 f7;aU <br /> 6 <br /> 7 <br /> 8 0 <br /> 9 A <br /> 0 <br /> 10 <br /> � cis <br /> f Date>;-�p V Time /6` 19 <br /> Relinquished B)► r Date �� Time ZO Received By <br /> Time / 3u Received By Date Time <br /> Relinquished By - < <br /> Relinquished By Date Time Received By Lab IoLDate Tame 7j� <br /> Were Samples Received to Good Condition? U Yes U No Samples on Ice? U Yes U No Method of Shipment— Page of <br /> _ <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chain of Custody reported? f1Yes ❑ No If no, what analyses are sneeded? <br /> 2)Was the report issued within the requested turnaround time? U Yes Ll No if no, what was the turnaroundit time'? <br /> Date ____— <br />