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i <br /> WA 88011•(2061481-9200 <br /> U 8�Jarvis Drive•Morgan Hilk CA 95037.1408)776 9600 FAX(408)782 8�d8 18939 120th Ave.ME $uite 101 liothetl, 924-9200 <br /> L U 818 SlrikQr Ava,Sulte 8■Sacramcntn.CA 93834•(916)921-8800 °11 11 U East i i 1 IS Manlgomery,SU,te B■Sppkane,WA 99206-tom) <br /> I <br /> U d04 tJ WgQI Lars©•lM1ralnut Creek,CA 94'I ■(9255 9 9800 o 15055&W.Sequoia ftvy.Stnto 110+PbrtlarA OR 07222■(503)024-9r100 <br /> U 1455 MGn01-01 Blvd htorth,Suite D 1,pataluma.CA 94954-[707)792-1885 GLORAL ID9 70607700123 <br /> Consultant Company: �j Project Name' Forme .01 #2859 <br /> Get;tler— yan Inc. <br /> UNOCAL project Manager (Required): Ni ie�sv <br /> Address: 6747 sierra Court, Suite J� - <br /> Zi Code: AFE# ' <br /> City. Du�Iirt Stats. - CA P , 184568 _ <br /> FAX # '3 �� �� Site#, City, State: 1128 59. 1665 Pacific Aver, Stns n�C 9 <br /> TeTs�phono• 925--551�75SS _ 925-551-7899U <br /> u!LL QC Data' ❑Level D(Standard) ❑ Level C to Level S c3 Level A <br /> Report To Deanna L. Hardfn Sampler. <br /> O S Work Days U 3 Waris Days Q Drinking Waler ArletyBes Requosta <br /> 'Turnaround ,3�t8 Work Days aY <br /> Time., 3 2 Work Days �1Work Day t1 P•8 Ftours�� p Waste Water r 1�C <br /> CODE: 0 Mtso U Detect, U Eval. 0 Remed C3Demol. [3 Closure '�C?lher l`> ec' _ <br /> Cent Date/Time Matrix #at = Cont. Laboratory e4 Comments <br /> Sam le I D. Sampled Resa. cont. ;' TYp <br /> p e � SariRpio# <br /> _ BIS <br /> 1. GLA 6l11-lv w it t �� .7 omes—MTBYe O <br /> I� Im <br /> IDA, 17E1 n , O <br /> 2. Dt 1AM , 1n <br /> s. <br /> 14-3 i [ hDll <br /> _ _IVtiW-- <br /> 4. MW-3 1 `115 <br /> -MW4 1 5 <br /> 3 C [ <br /> - <br /> 8. <br /> s. N!W D(\AUJ 0:1 3 1� 47T- <br /> F o <br /> - io <br /> Time•1t Received date: , c Tune. � "' f .a, <br /> Relinquished By: nate !3 i _ - s <br /> i` TtDate' Time; <br /> Rolinquished By: Date:, ; rn4__ ReceWd 13y: <br /> Relinquished By: Date ' l ,Time: Reeoivotl By. Date. Time: <br /> � I <br /> Were SamFTes FleceTnred in Good Condition? Ws U No j1 Serniples on[ce? XYes D No Method of Shipment Page_of <br /> To be completed upon recerpt of report• <br /> 1)Were the analyses requested an the Chain of Custody roported? UYes U No It no,what analyses are skill needed? <br /> 2) W he report issued within the requested turnaround time? ❑Ya ❑tato If no, what was tho turnaround time? <br /> G�' e . <br /> Approve �G L Slgrrtittl Company: - <br /> K <br /> II �i <br />