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.. sMir M <br /> 4l` t s1 V' U 680 Chesapeake Ui the-I iedwoml(,sly.GA 94063-t4Ib)3b4 MUU U 1 t1Wd9 12Uih Ave,IJ t,Suites 1U I•Ill se.0 WA Vtw 1 1•(Lub)4b I V40U <br /> UNOCAL <br /> OCA U 819 Stnkel ,Suite 0•Sacramento CA 95034•(916)921 9600 U East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)824-9200 <br /> r <br /> U 404 N Wget Lane-Walnut Creek,CA 94598•(510)988 9600 U 15055 W Sequoia Pkwy.Suite 11 •Portland,OR 97222-(503)624MM <br /> Consultant Y R. r... <br /> Company C c 6 x000 Project Name <br /> P -te.4t�e. <br /> Address ' - r+ UNOCAL Project Manager _ <br /> City �Jta1i Stale Zip Cade y AFE# 9902141 c <br /> Q <br /> Sde ,City,State ad-( <br /> q CLC-- <br /> Telephone hone s y <br /> Report To tc-•.. L & Sam ler OC Data ❑ Level D(Standard) 0 Level C ❑Level B 0 Level A <br /> a <br /> Turnaround JUl Work Days O 54Vork Days Q 3 Work Days IJ Drinking Water I_ FAnalyes R uested �� -010 <br /> Tune: Work Days> ❑ 1 Work Day 0 2-8 Hours IJ Waste Water <br /> CODE:0 fAc 0 Detect ❑ Eva] lJ Remed lJ Demo) IJ Closure lJ Other <br /> Client DatelTime Matrix #of Cont Laboratory <br /> Sample I D - Sampled Desc Cont Type Sample# ,9` .Ca t� merits <br /> --9102060 <br /> 1 411 z- <br /> 2 Mw�'G �� z w 3 /�!1 90 0 " .fir .�— � k <br /> 4 a1 r m <br /> i <br /> 5 Mw' I 0 b All 902orz ..�- 2i' )r k 1 } <br /> s MW31 2 ,yw to All 9020&jA1A6_WJ . <br /> s Y6# 90206 <br /> 9 Z-y- -- W Z- C# 902063:4 <br /> 0 <br /> 10 w <br /> 0 <br /> Relinquished By Datez-,!r ? Time605— ReceivedBy Date Zlil Time Q�� <br /> Relinquished By Date Time Received By e te c?cj Time IDZI] 3 <br /> Z-19/g 9 Ime f Z:3p <br /> Relinquish B Dale Q Time !2,��3 lReceived By Date <br /> Were Samples Received In Good Condition?U Yes U No Samples on Ice?.dk4es U No Method of Shipment Page?of <br /> To be completea completeupon 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? I_]Yes U No If no,what was the turnaround time? <br /> rmml —--Date <br />