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City CA 9400-(415}364 96D0 U 18939 1201h Ave N E,Suite 141 •Bothell WA 98011 <br /> 10481 9200 <br /> ] 680 Chesapeake Drive•Redwood C y <br /> • r� 819 Striker Ave,Suite 8•Sacramento,CA 95834•(9 Ara)921-9600 U East 11115 Montgomery,Suile 6•Spokane,WA 99206•(509}924 9200 <br /> UNOCAL I C3 15455 S W Sequo4a Pkwy Suite 114•Portland OR 97222,(503)624 9800 <br /> U 404 N W eget Lane•Walnut Creek,CA 94598•(51 D)988 9600 <br /> Consultant Company Project Name SL�Z <br /> CC'� C� <br /> UNOCAL Project Manager L�P t S � <br /> Address 7-/7 S n."/, C Slit {C' <br /> `` ii State Zip Code (�f AFE# , a <br /> City 1 it's U <br /> Telephone (0 �S�S <br /> FAX# Site #, City, State �� z ! ` o ���"�' <br /> Report To Iz �t �_ Je4 L L 7' `C Sampler <br /> �� (�11r I`<< f r.�t.�QC Data IJ Level D (Standard) ❑ Level C ❑ Level 8 ❑ Level A CL <br /> Anal ses Re nested 11 � <br /> Turnaround 10 Work Days ❑ 5 Work Days LJ 3 Work Days ❑ Dunking Water �' �r <br /> ❑ 2-8 Hours ❑ Waste Water ti <br /> IT1me ❑ 2 Work Das ❑ 1 Work Da <br /> CODE I] Misc Detect IJ Eval IJ Remed IJ Demo] 1J Closure U Other <br /> ienMatrix #of Cont Laboratory �� }� (� Comments <br /> Clt DTrme <br /> Sample I D Sat®Iampled Desc Cont Type Sample# �' g <br /> L <br /> 2 `_Z �j, <br /> 3 f <br /> ! C 0 <br /> Z 3 <br /> ' 4 (_S�� <br /> 5 Ccs—/0 <br /> g � � [�nCCcLtlr.�tat5 �, <br /> 1 C, S -j Z <br /> -,5 Z a <br /> l c Date �� T Time !C Received S `mac y Date I`� 1 Time 1p 0 <br /> Relinquished By L <br /> Relinquished By U� Date Ct Time <br /> Received 8 Date Time 3: <br /> Relin uished 1� a e irrle Recerved B Lab .2t/vu—6111 Date T <br /> ime t <br /> Method of Shipment Page of <br /> Were Samples Received in Good Condition?FJ Yes Q No Samples on Ice? 0 Yes U No <br /> • To be completed upon receipt of report needed? -- - <br /> 1) Were the analyses requested on the Chain of Custody reported ❑Yes❑ No If no, what analysesrnare still — <br /> 2) Was the report issued within the requested turnaround time? U Yes❑ No It no,what was the turnaround time? Dale7l <br /> _�-- <br /> Si nature Company � — <br /> Annrnvprlh� -- --- g - <br />