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O X80 Chesapeake Dmie•Redwood City,CA 94063•(415)394-M O 189391201h Ave..H E,Shite 101 ■Wtheff.WA 98011•(208)491-9200 <br /> UNOCAL 19 <br /> IP918 Strftr Ave.,Sulle S v-Sacramenlo,CA 95834■(018)021 SMU FaSL 11115 bRonkiame,y,Wie B■Spokane,WA MBS■(509)924-9200 <br /> Q 19MB2108 Ave.,StIO 1.M■Concord.CA 94520•(514)686.9600 0 15055 S w SequDle Pkwy,Sd1c 110•Poffaid,Olt 97"2'23•(501)6244f86t10 <br /> Company Name. C H e r— Project Narrre. <br /> Address- j Y 1" 5# 0 UNOCAL Project Manager AlleC v 1,,. � '0 <br /> C4ty . hO &fdPVU State ztp Code: p7O Release,' v 0 <br /> Tele tone. lqlb6 O FA7( : c <br /> Re ori To: ee ff ine P. Sam ler: <br /> 'Dfry P, c- QC fats. A Level D nda ) 17 Level C Q Lcvol B ❑ Level A i <br /> Turnaround 010 work DayS U 5 Worts Days ❑3 Work Days ❑ Drinking Water Artal sfls ftiquestod <br /> Time- Q 2 Work Days ❑ i Work Day O 2-814DUM Q Wastewater �N <br /> CODE: ❑Miss ❑ Detect ❑ Eval ❑ Rerned ❑ Mmol Q Closure ❑ Other s <br /> Client DateMme Matrix #of Cont. <br /> Laboratory <br /> Samplo I D. Sampled Desc Coni Type Sample# + Comments <br /> 1r ,�2 9 1 <br /> 17 <br /> ■ <br /> 4 <br /> 5 <br /> i}. <br /> 7. <br /> B <br /> 9 <br /> 10 0 <br /> F <br /> Reli uTahed By. ate. 0 Me' Rimed BT, Date., Time` <br /> �J II a: <br /> RellnquishedS : �y. Dale, limaRecely Date' Ili} Time. I t <br /> R©lln ulshod Date: rrme• Received 8 Lair: Date, Time <br /> Were Samples Recewed m Good Condition?Cl Yos❑No Samples on Ice? 0 Yes 0 No Method of Shipment — Page—of <br /> To he completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes❑No if no,what analyses aro shit needed? — <br /> 2) Was the report issued within the requested turnaround time? ❑Yes❑N If rte,what was the turnaround lime? _ <br /> Appro _ _ _ Signature Company' — D <br />