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UNOCAL <br /> �h��819 Striker Ave,Suite 8•Sacramenlo CA 9*(9 6)921 921 9600 U East 11115 Montgomery,Suite B•Spokane,WA 9920)924 9200 <br /> U 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Poitland,OR 97222 (503)624 9800 <br /> Consultant Company �.�t t` , r Jlt�i�'d�� l;rr�l 1 t , l,t, ' Project Name <br /> Address i I �' ' 'f F).r � `� �f`�f,() UNOCAL Project Manager 'I( U i'-001 <br /> r ,t1 <br /> City lj��i ��, `, State (0 Zip Code AFE It C <br /> Telephone ';U ' 1(x/1 - Gid FAX jl /t� " `�t��"l5 a`I Site #, City, State 0j`(% ��(" " �'77�r'� { ✓� U <br /> Report To r ? � 1 t ��`' J tt+art Sam fer f I t } �i� 1 r �1 iM` QC Data Level D (standard) ❑ Level C ❑ Level B ❑ Level A c <br /> d <br /> Turnaround x-10 Work Days 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eva[ d-Remed ❑ Demol ❑ Closure 0 Other 9(e `j <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D IS led Desc Cont Type Sample 4 tia Comments <br /> P p p (� <br /> h <br /> 3 J <br /> 4 _a <br /> a� <br /> 5 <br /> 6 <br /> 7 <br /> a <br /> 9 <br /> �o <br /> o <br /> ._ <br /> Relinquished By �� _ � . ;'( t ,� t � Date y���Yl; Time �O Received B Date Time <br /> Relinquished By r Date Time Received By Date Time <br /> RelinquishedB Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition?O Yes U No Samples on Ice? ❑Yes Q No Method of Shipment age of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑ No If no, what analyses are still needed? � <br /> 2) Was the report issued within the requested turnaround time? 0 Yes❑ No If no, what was the turnaround time? -- <br /> Approved by __Signature __�_� _Company Date <br />