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UNO*kL ❑680 Chesapeake Drive•Redwood City,CA 94063•(650)364- O 18939 120th Ave, N E Suite 101 •Bothell,WA 98011 •(206)46 o O 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-91* ❑East 11115 Montgomery,Suite B•Spokane,WA 99206•(509) 200 ❑404 N Wiget Lane•Walnut Creek,CA 94598•(925)988-9600 ❑15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 ❑1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 Consultant Company 66Krror-, I»G, ?"gpd nL Pro)ect Namermar Z� Address � � S imrrQ �tii 7 UNOCAL Project Manager ��, Ali , Ity..3zc� City b State Zip Code AFE # Telephone ql,O S-SJ- :7-r '-S— FAX # It r,ss"l-- `$ Site #, City, State Report 70[��yt G Sampler � � ^ QC Data Level D (Standard) ❑ Level C ❑ Leve f3 C] Level A U 11 Re Turnaround *0 Work Days 5 Work Days ❑3 Work flays ❑Drinking quested g Water Y q � Time ❑ 2 Work Days ❑1 Work Day ❑2-8 HoursWaste Water CODE: ❑Misc ❑Detect ❑Evai ❑ Reined ❑Demol ❑Closure ❑Other Client Date/Time Matrix # of Cont Laboratory ,(,�� Comments 1 Sample I D Sampled Desc Cont �T/y(pe Sample # g �/ 0 I � o ca w � 2 , Z6161,01 'µf -t � � 3 14V 3 Or& 15:-' 2� d � 6 1t %to u 1C,60 'L 3 04 �'`� SCIA,, 7 ft- // .-to &, 3 ti 0� 8 Hc.r•8 �,� •� 3 ti z L 10 M,�J'.. O 4ve 1 a3-013 j (� Relinquished By Date f Tlme 7.4'%� Received By, Date G U Time. s Relinquished By Date Time Received By Date Time Relinquished By Date Time Received By Lab Date Time Were Samples Received in Good Condition? ❑Yes ❑No Samples ori Ice? ❑Yes ❑No Method of Shtpment Page_of To be completed upon receipt of report. 1)Were the analyses requested on the Chain of Custody reported? ❑Yes ❑ No If no, what analyses are still needed? 2) Was the report issued within the requested turnaround time? ❑Yes ❑ 0 If n , what was the turnaround time? 01 proved by Signature4---"--JV1Umpanyc -G? Date