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�l! 680 Chesapeake Cnve•Redwood City,CA 940*15)364 9600 U 18939 1201h Ave,N E.Suite 101 •Bothell WA 98011 •(4081 9200 <br /> UNOCAL U\819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-9600 U East 11115 Montgomery,Suite B•Spokane WA 99206•(509)924 9200 <br /> U 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy Suite i 10•Portland OR 97222•(503)624 9800 <br /> Consultant Company �fl Project Name Z5 1 O — O. <br /> AddressNEFS 201 Z� r�,,,A✓ �L UZ UNOCAL Project Manager Q6B <br /> City State Zip Code AFE# <br /> C <br /> /1 al <br /> Telephone 105 FAX # r 53 Site #, City, State 0 <br /> Report To isampler K Mftb QC Data4 — O_ <br /> Level D (Standard) ❑ Level C ❑ Level B I-) Level A C: <br /> Turnaround,-,Fe�ork Days L) 5 Work Days ❑ 3 Work Days F] Drinking Water JAnalyses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE. ❑ Misc ❑ Detect ❑ Eval A-TTemed ❑ Demol ❑ Closuret er _j6 <br /> I <br /> Ghent Date/Time Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 2 V 6 Q'li ° <br /> r� <br /> 3 <br /> 3 <br /> 4 ° <br /> a� <br /> 5 } <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 0 <br /> 10 <br /> L <br /> 1 � <br /> c� <br /> Relinquished By f Date _ Time Received By Date 1/ 'r TimeAJ <br /> Relinquished By Date �/ tme Received B Date Time <br /> Relinquish B Date l Time Received Bv Lab Date ((q to Time 14g <br /> Were Samples Received in Good Condition?❑ Yes 0 No Samples on Ice? O Yes❑ No Metho tpment Page I of R <br /> I o be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes U No If no, what analyses are still needed? <br /> 2) Was the report Issued within the requested turnaround time? C] Yes 0 No If no, what was the turnaround time? <br /> Approved by ----- --__ ___W—_ Signature _ _-- _ ____ _ Company _-- <br />