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w©�BQGhesapeake DrNe•Redwood City,CA 94063•(650)364-9600 • U 18939 120th Ave,N E Suite 101 •Bothell WA 9801 1 +(206)481 920( <br /> U�Oc + 0 618 Striker Ave,Suite 8•Sacramento,CA 95834+(916)921-9600 U East 11115 Montgomery,Suite 8+Spokane WA 99206•(509)924-9200 <br /> O 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 /> 0 1455 McDowell Blvd North,Suite D•Petaluma CA 94954•(707)792-1865 <br /> Consultant CompanyL f�Y� Project Name <br /> Address l q? ,-4a_jk-- (26,,t' iil i f-,P SUNOCAL Project Manager <br /> City 70 J 1 z-)_�1 State Cl&- Zip Code 9 q Sb� AFE # <br /> FA # Site #, City, StateTelephone2) ( L <br /> Report To Cj L5� Sampler QC Data hTLevel D (Standard) Cl Level C Q Level B Q Level A v <br /> Turnaround YA Work Days ❑5 Work Days 0 3 Work Days 0 Drinking Water Analyses Requested L <br /> Time. "C 2 Work Days U 1 Work Day U 2-8 Hours a <br /> O Waste Water <br /> CODE: U Mlsc 0 Detect LI Eval )iemed D Demol U Closure 0 Other 1�5 <br /> Client Date/Time Matrix # of Cont Laboratory Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> SCI`s Pc,cCa <br /> lot 07 <br /> 4G } <br /> g ( orS <br /> 8 <br /> o <br /> ! <br /> 9 <br /> 10 n <br /> Ca <br /> Relinquished By Z Date TimeLL Received By Date Time l�• � m <br /> Relinquished By Date �/ O Time Received By Dateo//r//Y Time () :_i� <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? O Yes 0 No Samples on Ice? U 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? C]Yes U No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? U Yes C] No If no, what was the turnaround time') <br /> Atmrnv(,d by -- Signature — -- --- -- -- Company ----- _-_---__ --- Dale T - <br />