Laserfiche WebLink
e'L Z 119 58 1 680 Chesapeake Drive•Redwood city,CA • 415)364-9600 O 18939120th Ave.N E,Suite 101 •Bothell,WA 96011•(206)481-9200 <br /> ❑819 Striker Ave,SuRe 8•Sacramento,CA 96)921-9600 O East 11115 Montgomery,Suite B•Spokane,WA 99206•(&4-9200 <br /> U 0 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 O 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> Consultant Company ,r_R7 1�, Ta 7,^,o 1 6.c�� Pro)ect Name Fdp'I+„=+a r �fr,��/ SS-0 z r <br /> UNOCAL Project Manager mr <br /> City c c 1�'a State Zip Code 9 j%g AFE# c <br /> m <br /> Tele hon&- S S7� � FAXSite#,City,State /66SA* c� <br /> , <br /> Re ort To•b �. Sam ler .� QC Data Level D standard ❑ Level C L1Level B ❑ Levet A c <br /> a <br /> Turnaround 10 Work Days &5 Work Days ❑ 3 Work Days ❑ Drinking Water A Analyses Re uested <br /> Time: ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours Waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure Other + 4 <br /> 'Client Date/Time Matrix #of Cont Laboratory �Y <br /> Sd6ple I D Sampled Desc Cont Type Sample# Comments <br /> z <br /> 3 I r it 1 n <br /> 4 m <br /> 5 <br /> r <br /> s <br /> 7 <br /> B <br /> 9 <br /> 0 <br /> is <br /> Relinquished By Date Time y Received B Date�kl 3 t19 :Time t S <br /> 0 <br /> ILI <br /> Relinquished By Date - Time Received By Date ime / <br /> elm uished B e Time G Received BY-Lab Date ime 0 <br /> Were Samples Received in Good ndition?0 Yes 0 No Samples on Ice? ❑Yes 0 No Method of Shipment Page-._of <br /> 0 be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? 0 Yes❑No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? a Yes a No If no,what was the turnaround time? <br /> Approved by eheey- -L_ �S-P�;[____Signature mpany G _ „ ,,,._ .._ Dated <br />