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1-1 680 Chesapeake Drive•Redwood Cary CA 9J(415)364-9600 J 18939 120th Ave N E SOO 101 •8othelI WA 98011 �)481 9200 <br /> U CAL 0 819 Striker Ave,Suite 8•Sacramento CA 95 (916)921-9600 0 East 11115 Montgomery Suite 6•Spokane WA 99206 )924-9200 <br /> f <br /> ❑ 404 N Wiget Lane•Walnut Creek CA 94598•(510)988-9600 U 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9800 <br /> Consultant Company C r'T'�L - -r--L a� �� Project Name U�JoC f} ,-# 51+21 _ S j Q C K T O N <br /> Address 6 ,14"1 est ekjZc� C—+ I S UNOCAL Project Manager EV U L STO N <br /> City Du 8 L I W State C Zip Code IL} s j $ AFF# <br /> Telephone ' LD <br /> 5 � e v# State Report To HYD E SLA WTIN Sampler W& KLV0RK <br /> QC Data )<Level D (standard) ❑ Level C ❑ Level B J Level A <br /> Turnaround0 o a J 5 Work Das ❑ 3 Work Das i a- <br /> Y Y Y � Drinking Water Anal ses Requested <br /> Time IJ 2 Work Das Al Work Day ❑ 2-8 Hours lJ Waste Water G Aci <br /> CODE JMisc �.J Detect ❑ Eval IJ Remed ❑ Demol ❑ Closure Other <br /> Client Date/Time Matrix # of Cont ` <br /> Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments't `�{ !`� !� !� <br /> ! TLI <br /> 2 — s 8041413 <br /> L,,- 8041420 <br /> 4 0 <br /> 5 } <br /> 6 - �� <br /> 7 <br /> 9 ^ n <br /> _T <br /> 10 <br /> [p <br /> O <br /> AM A <br /> ca <br /> J <br /> Relingwshed ByVAJ 0 0 Vpate VI i ime Received By ,Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished BV Date Time Received B Labs Date Z Time <br /> Were Samples Received In Good Condition?�s U No Samples on Ice9 &Yes U No Method of Shipment Page_at— <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes iJ No If no, what analyses are still needed <br /> 2) Was the report issued within the requested turnaround time? -i Yes F-J No If no, what was the turnaround timed <br /> Approved by _ -- _ _ __ _ Signature _ _ _ _ _ Company -- - _ --------_-__ Date --�_ <br />