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U 680 Chesapeake Drive•Redwood(City,CIA 94063• (650)364-9600 U 18939 12oth Ave,n t= guile w k -nuu«su, .•„�uv 1 1 <br /> UNOCAL <br /> U 619 Sinker Ave,Suite 8•Sacrame to,CIA 95834•(916)921-9600 U East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 <br /> 11 404 N Wiget Lane•Walnut Creek 1 C 94598•(925)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624 9800 <br /> U 1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)7921865 <br /> Consultant Company ��TT-L ER-- �JU it r Project Name --p 17M� uO O C4 A85 --S T0f �N <br /> Address �p �jtr mck C �Lk- `�e � UNOCAL Project Manager [3Q 6 O LL 5 T n <br /> L Stat de o A <br /> City Zo <br /> i! <br /> IF 8 A� <br /> Telephone(ID,57) 1551— 5 5 5 FAX�y# '-j 5F .. Site #, Clty, state Cj _ l �� C Y r <br /> Report To (} �'✓ Sampler I{� �1�0 QC Data 'Level D (Standard) U Level C Level B © Level A <br /> 't Dunkin Water Analyses Requested <br /> Turnaround U 10 Work Days Work Days li O 3 Work Days U g <br /> l - <br /> Time U 2 Work Days ❑ Mork Day P U 2 B11-11ours U Waste Water i <br /> CODE: ❑Mise U Detect t'Eval U Remed U Dem1ol U Closure <br /> IL <br /> Client Date/Time Matrix # of Cont Laboratory �y, Comments <br /> Sample I D Sampled Desc Cont Type Sample# \f <br /> 1 CDW _S Sol(- ,5 90,1g00 L/ <br /> A <br /> 3 <br /> 4 14 !! <br /> 5 !! <br /> i il�ff <br /> 7 <br /> 8 I� <br /> 9 <br /> 10 <br /> iA <br /> I; <br /> n 1� s <br /> Relinquished By ate 7j { +me rb: Received By Date 3 '3L Time r <br /> Relinquished By ;Date ' Time Received B Dale Time <br /> Relinquished By <br /> Date!=J� Time Received By Lab Date Time <br /> Page_oi_ <br /> Were Samples Received in Good Condition? Yes U 'No Samples on Ices les U No Method of Shipment <br /> FTobecompleted upon receipt o1 repori1) Were the analyses requested on the Chain of Clstody reporied? ❑Yes D No If no, what analyses are siifl needed? <br /> as the repori Issued w+th+ri ilia requested iurnarouni� time? U Yes ❑ No If no, what was the turnaround time? Date <br /> pal by I 11 Signature _ Company _ _ �_- _- _ - <br /> _ <br />