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UN*A L U 819 Striker Ave.Swle t3•Sacramento GA 95©016)921 9600 Q Easl 11115 Monigornery,Suite 13•Spokane WA 99206••924 9200 <br /> U 404 N Wigel Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)624 9800 <br /> Consultant Company tfrCProtect Name <br /> Address 2 Vf L d UNOCAL Project Manager <br /> City <— State Zip Code01 <br /> Telephon QCT FAX it 7J Site #, City, State <br /> U <br /> Report To L• kampler_--JC. wt.0 JQC Data ovel D (Standard) ❑ Level C ❑ Levet B ❑ Leve�IA� <br /> Turnaround Work Days I] 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Reuested <br /> Time ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours ❑ Waste Water <br /> CODE; ❑ Misc I �tect ❑ Eval f] Remed ❑ Demol U Closure Wther <br /> L� <br /> Client Date/Time Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 42 t 2 co (j(- ( �' <br /> 0 <br /> 2 CrT L .L b o <br /> 3 al <br /> 4 3 <br /> 2 <br /> 5 <br /> 6 <br /> 7 <br /> s <br /> 9 <br /> 110 Z <br /> 0 <br /> w <br /> cu <br /> 0 <br /> .0 <br /> Relinquished B C J <br /> q Y Date ,.7-/Z�"�, Time I Received B Dale Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab I Date ITime <br /> Were Samples Received in Good Condition?iJ Yes U No Samples on Ice? IJ Yes❑ No Method of Shipment Pageof <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑ Yes U No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? t.!Yes Lt No If no, what was the turnaround time? <br /> Annmved by Sirinnhirp ('mmnanv ngrn �— <br />