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""wood Gily.CA <br /> 9600 U <br /> -Bothell,WA 98011 ,(20j <br /> 1 9200 <br /> UN(*A L �19 Striker A ekeSuite 8 Sacramento,CA 9583 1))9214 600 U East 11115 Montgomery SSuite 81•Spokane,WA 99206•(5 49200 <br /> 1� /'IQ, <br /> U 4_04 N Wiget Lane•Walnut Creek,CA 94598•(510)9138 9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)624 9800 <br /> Consultant Company v��fi�/►hc.7T�(� �'�r1 Project Name <br /> Address ?61 C uJG crP # UNOCAL Project Manager O� <br /> �S1 <br /> City ��cjr1 2_ State Zip Code /a AFE It 0 - Q Lt4o s <br /> Telephone f Z)% Ltd- 7S FAX It <br /> 'fI(I- ? S32 Site #, City, State S �' <br /> U <br /> Re ort To �e 55!C rt A t 11 9i, JSamUler <br /> 1 t QC Data I�tuvel D (Standard) ❑ Leve!C Q Level B ❑ Level A <br /> Turnaround �1-10 Work Days I] 5 Work Days U 3 Work Days IJ Drinking Water Analyses Re uested a <br /> Time I] 2 Work Das ❑ 1 Work Da 1_1 2-8 Hours <br /> I] Waste Water <br /> CODE ❑ Misc I] Detect I] Evalrl Remed ❑ Demol ❑ ClosureOther - <br /> Client Date/Time Matrix # of Cont <br /> Laboratory <br /> Sample I D Sampled Desc Cant Type Sample# �i Comments <br /> ' 14 F-4o <br /> 2 -' �- 2i 0ro <br /> 0 <br /> s co <br /> 4 <br /> o � <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 0 <br /> 0 <br /> .r <br /> m <br /> 0 <br /> Relinquished By Date <br /> / G �'L Time [� Received 8 tc,c0 Date / 74 Time J <br /> Relinquished By Date 6 Time 7a F received By Date Time <br /> V7- <br /> [--Relinquished B Date Time Received By Lab Date l/T 6 ITime f7 <br /> Were Samples Received in Good Condition? Yes ILI No Samples on Ice? a Yes, ] No Me od of ipment. SffU i p Page of <br /> To be complete p 17 <br /> upon receipt o ort �r <br /> (eport <br /> 1) Were the analyses requested on the Chain of Custody reported?_'L(Yes L11 No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? rYes 1J No It no, what was the turnaround time? <br /> Approved by /) 4 1 arc Czr 1 Signature k � ��e �� •r Company _ � C( -- Date (� — <br /> -- 1 <br />