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r►+ <br /> U 680 Chesapeake Drive•Redwood City CA 94063•(650)364-960010 U 18939v 120th Ave Nr E Suite 101 •Bothell WA 98011 •(206)481 9� <br /> u N OC L U 819 Striker Ave Suite 8•Sacramento CA 95834•(916)921 9600 U East 11115 Montgomery, Suite B•Spokane,WA 99206•(509)924 9200 <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 1665 <br /> Consultant Company �� el F L��V�J Project Name / � _/�_ G <br /> Address e7(� '� � /tr6u _ UNOCAL Project Manager O6 <br /> rTel <br /> ty _ State Zip Code yr r< �, AFE # <br /> leph 'ne 5 �S_ FAX 'i i 5 / Site #, City, State 2 c <br /> iv <br /> Report To �U fiT i (b Sampler i s�f QC Data evel D (Standard) 0 Level C 0 Level B C) Level A v <br /> Y <br /> S ' -L ( - -- <br /> Turnaround 0 Work Days U 5 Work Days U 3 Work Days U Drinking Water Analyses RequestedCIL <br /> Time* Work Days U 1 Work Day 0 2-8 Hours U Waste Water <br /> CODE: 0 Misc ❑Detect VEval 'U Remed ❑Demel U Closure Other `r <br /> Ghent Date[Time Matrix # of Cont Laboratory 1 Comments <br /> Sample I D Sampled Desc Cont Type Sample # \ <br /> 0! �d X1 )i( i <br /> ` o <br /> CS u c� <br /> 3 � :O � <br /> 3 <br /> 4 0 <br /> I } <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 0 <br /> 10 ,� l <br /> J <br /> Relinquished By �� �i7, - �� Date Time /q j 7 Received By <br /> Date If�� Time 1'r30 a; <br /> I � <br /> Relinquished By Date6 Z/-0/ Time /41/6 Received By Dale Time <br /> r <br /> Relinquished By Date Time Received By Lab i� Date Time <br /> Were Samples Received in Good Condition? U Yes ❑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? ❑Yes 0 No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? U Yes ❑ No If no, what was the turnaround time? <br /> n n-.. — r`mmnarnr Date <br />