Laserfiche WebLink
i <br /> r O 819 Striker Ave,Suite 8-Sacramento,CA 95(916)921 9606 U East 11115 Montgomery Suite B-Spokane,WA 99206 )924 9200 <br /> UNOCAL O 404 N Wiget Lane-Walnut Creek,CA 94598-(510)988-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110-Portland,OR 97222-(503)624-9800 <br /> Consultant Company _;S�Mw� Project Name IQ(0S C <br /> Address 2 g� UNOCAL Project Manager ""'r <br /> 5 <br /> CitycggaState �}_ Zip Code AFE # �(] <br /> LD <br /> Telephon � - 7 FAX# 7s Site #, City, State U <br /> Report To L Fsampler --rm wt p QC Data vej D (Standard) ❑ Leve!C ❑ Level B ❑ Level A <br /> a <br /> Turnaround Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Re nested <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> v <br /> CODE' ❑ Misc tect ❑ Eval ❑ Remed ❑ Demol ❑ Closure Wther <br /> 8 Client Date/Time Matrix # of Cant Laboratory t� <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 1 -[Z-�iYn tx �o I��r c I 0 <br /> 0 <br /> as <br /> 2 •b <br /> co <br /> J <br /> 3 , <br /> 4 2 <br /> a� <br /> 5 <br /> } <br /> 6 <br /> 7 <br /> 6 <br /> 9 <br /> 10 co <br /> 0 <br /> .0 <br /> �n <br /> Relinquished By Date 1-2% Time y Received By Date firne <br /> Relinquished By Date ` /� �� Time `��- Received B Date l Time <br /> Relinquished By Q ITime Received By Lab S f LV?2 1 Date. &OlTime t C <br /> Were Samples Received in Good Condition?❑Yes❑No Samples on Ice? ❑Yes 0 No Method of Shipment Page of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported?*Yes❑ No if no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ')) es 0 No If no,what was the turnaround tire? <br /> Approved by Signature � G �l Company Date �� 2() <br />