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UNOCAL IJ 680 Chesapeake Drive•Redwood City,CA 94063•(650)364-9600 D 18939 120th Ave,N E Suite 101 •Bothell,WA 98011 •(206)481-5200 <br /> ❑819 Striker Ave.Suite 8•Sacramento,CA 95834•(916)921-9600 ❑East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 <br /> 0 404 N Wigei Lane•Walnut Creek,CA 94598•(925)988-9600 ❑15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624 9800 <br /> 111455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 1' <br /> Consultant Company � � X � /nom ��1 a Protect Name G / ,S'� ti Z 15 II <br /> Address to:;L� s.Q,7�e cr UNOCAL Protect Manager f 1 <br /> City ����s� State e� Zip Cod �1�y <br /> eAFE# 1I 6I <br /> Telephone *OX-X-1• ? s-sr FAX Site #, City, State /66r � �, ,.�' m <br /> n <br /> Report To ���,n L, Sampler �j� ate, QC DataLevel D(standard) D Level C L) Level B D Leve!A v <br /> Y <br /> Turnaround Work Days 0 1 Work Day 0 2-8 Hours Waste Water <br /> 0 Work Days 135 Work Days 0 3 Work Days 0 Drinking Water Analyses Requested ti <br /> Time: 912• � <br /> CODE. ❑Misc 0 Detect 0 Eval Remed 0 Demol 0 Closure 0 Other <br /> Client Date/Time 11 Matrix #of Cont Laboratory \\��� <a i Comments <br /> Sample I D Sampled Desc Cont Type Sample #VO <br /> Q <br /> a <br /> L <br /> 2 44D er ct� <br /> 3 � <br /> 3 <br /> nS ° <br /> 4 m <br /> 5 <br /> 6 <br /> 7 <br /> 13 0 <br /> 9 <br /> L <br /> i0 <br /> J <br /> Relinquished By Date Time �,LVP Received By ale 12-, Time a26 m <br /> L <br /> Relinquished fay Date �� Z3 5 ime Received By Time !Sr6"1 <br /> Relinquished By to Time Received By Lab Date /���j Time 6 ]-0 <br /> Were Samples Received In Good Condition 0 Yes 0 No Samples on Ice? ❑Yes 0 No Method of Shipment Page of <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chain of Custody reported? 0 Yes 0 No If no, what analyses are still needed? <br /> 2)Was the report issued within the requested turnaround time? 0 Yes 0 No If no, what was the turnaround time? <br /> Approved,WL Signature Company Date <br /> II <br />