Laserfiche WebLink
ArJ 680 ChosapeakP Drive•Redwood City CA 9400 15)364 9600 U 18939 1201h Ave,N E Suite 101 •Bolhell WA 98011 ,101131 9200 <br /> Ui A'. A L x'`a 19 Striker Ave Suite 8•Sacrarnenlo CA 95834•(916)921 9600 U Cast 1 1 1 15 Muntgonrery Suite 11•Spokane WA 99100-(501))°11 1 11,100 <br /> IJ 404 N Wrget Lane*Wainul Creek CA 94596•(510)980 9600 U 15055 S W Sequoia Pkwy S+nte 110•Porlland On 97222•(503)624 913t,k) <br /> Consultant Company CJ �,�✓ Protect Name <br /> Address A( f)2-S 6C rt �['� UNOCAL Pioled Manager f� `kJ 5�- <br /> Cdy 1 '30.5e- Stale j+ Zip Code 1;- <br /> /r L? AFE It <br /> Telephone o f c1fl FAX Iii y -`t`ql'7_; Site Ii, City, State iC e� m <br /> JJ 0 <br /> Report To }�1 �'{�t ��- UW, Sam ler 1t,,- LL)1Z( 6) QC Data11 Level D (S1andard) U Level C U Level d LJ Level A <br /> Turnaround P640 Work Das J 5 Work Das fJ 3 Work Das I <br /> Y Y Y ..] Drinking Water JAnalyses Rec uesied <br /> Time 1-12 Work Das IL! 1 Work Da 1:12-8 Hours U Waste Water <br /> CODE. IJ Misc IJ Detect IJ Eval *erned fJ Demol IJ Closure Other (� <br /> Client Dale/Time Matrix it of Cont L 17 <br /> aboratoly <br /> Sample I D Sampled Desc Cont Type Sample It Comments <br /> 1 L, 1 0 2 <br /> 2f=FLlqO <br /> 3 -J <br /> 4 0 <br /> 5 <br /> 6 <br /> 7 <br /> a <br /> 9 <br /> 10 0 <br /> L <br /> a <br /> 03n <br /> Relinquished By - Date ' z (, Time C ReceivedBy tel' Date '812 G Time /300 <br /> u� <br /> Relinquished By Dale �Time /sJ Received B Date Time <br /> Relin uished By I Date iTime Received By Lab }2 �1 Dat&-- <br /> e Time <br /> Were Samples Received 1n Good Condition?I Yes IJ No Samples on Ice? I Yes iJ No Method of SIupmenl-S-- (�UY61___ Page _of- <br /> To be completed upon receipt o report <br /> 1) Were the analyses requested on the Chain of Custody reported?XYes 1r No If no, what analyses are stili needed? <br /> 2) Was th ori ned within the requested turnaround time? �Ye/ns�J nN_o If no, what was the turnaround time? <br /> Approved by GU'CU f1 51gna111re VQ , ()-k AtAV v� Company ���' Date <br />