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U 6"Chesapeake Dim P RedMoad Cary,GA 94 OW•(415)3M 9600 U 1893912091 Ave.N F..State 101-Bottio 1,WA 98011-CM)401 7200 <br /> UNOCAL (D <br /> 0 819 Stnkar Ava,Suite 8 6 Saeraalenlo,CA 0554•(9161921-9600 D l=ast T f T f5 Montgomery.Suite a 9 Spokane,WA 99206-iSOiMI 924-9200 <br /> U 1940 Bates Ave,Suile LM a Concord.CA 945PO-(514)68&9440 D 15955 S W Sagvda Pkwy.Suite 1 i 0-Poa�and,OR 97???-(503)624 5800 <br /> Company Larne ' " rE f G Project Name, FMyl <br /> Aftessp Qe7C7t1i114CA�Project NEanagel / r ' <br /> Y fYZAtehe Co Slate Zip Code lq,� 71V Release 0 -T19 ' `' 9� .. <br /> r <br /> T©fe hono Am 631=-Ljop FAX 0: 1116 C31-1 F 17 site u. g t 6 q . I G A SAI U <br /> ReWrffu e rr Sam ler, - QC t]ata M t_evel d Siarwlar ❑t_eaaE C 0 Leve!B ❑Level A G <br /> Turnaround 11111 10 w0d Days (3 5 Work Days U S Work Days ❑ Drinking Water Anal ses Re ested <br /> rime. U 2 work Das Q 1 Work Eta ❑ 2-8 Hours ❑ Waste Water <br /> CODE:0 Mrs, ❑ Detect. C) Eval. L) Remed ❑ Derriol ❑Closure ❑ Other Ok� <br /> Client Datefrimo. Matrix Not Goni laboratory <br /> Sample I D. Sampled Desc. Cont. Type Sample# Comments <br /> i <br /> p <br /> 2. <br /> ' 14 g (a <br /> 4, o <br /> 5 LF <br /> � <br /> 8 <br /> 7. <br /> 8 <br /> 9 <br /> a <br /> a <br /> Relmquished By ate: Time:/ Received BYYY MVXAate 1 Time i qS <br /> Relinquished fay Dale Tithe: Received B . ate: Time. <br /> Relingoshed ft. Date Tie>rte. Received 131 lab. I DaI2, torno <br /> Were Samples Received in Good Condition?Ik Yes❑No Samples on lee9 ❑Yes Cl No method of ShiprnenL _ � Page�of <br /> lTo be completed upon receipt of report, <br /> 1) Were the analyses requested on the ChaTn of Custody reported? O Yes 0 No If no,what analyses are stili neededQ <br /> 2) Was the report issued Within the relquesled turnaround 1Trne9 U Yes❑No ff no,what was the tumaMUnd time? <br /> Apprqveddb.- _ Signature Company: Da <br />