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- 680 Chesapeake Dnve•Redwood City,CA 90(415)364-9600 ❑ 18939120th Ave,N E,Suite loi •Bothell,WA 98011 • 481-9200 <br /> UN O O A ❑819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-9600 ❑ East 11115 Montgomery,Suite 8•Spokane,WA 99206-(509)924-9200 <br /> ❑ 404 N Wiget Lane•Walnut Creek,CA 94596•(510)988-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> I <br /> onsultant Company Lie el_ �� Project Name f yZ r <br /> ddress '2 Leri'c �'u`-� �2C)Z UNOCAL Project Manager-- -- - -- -1?k f <br /> ty � <br /> �,� State Zip Code ac��� AFE# <br /> Telephone o FAX#(5 Site#, City, State <br /> U <br /> Report Toe <br /> � rte. Sam ler lee tx– QC Data ❑ Level D(standard) ❑ Level C ❑ Level B ❑ Level A STurnaround 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ DrinkingWater T 5 a <br /> � Anal ses Requested �D� --1�"l <br /> Time ❑ 2 Work Das Q�1 Work Day ❑ 2-8 fours ❑ Waste Water <br /> CODE: ❑ Misc Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other <br /> Client DatelTime Matrix #of Cont Laboratory ; �.A <br /> Sample I D Sampled Desc Cont Type Sample Comments <br /> =Z' 0 r< a <br /> Z— ZZ- <br /> 4 — ;3 � S e• � o <br /> '7 ?D <br /> 01 <br /> 8 <br /> 9 <br /> 10 <br /> 0 <br /> w <br /> L <br /> 0 <br /> Relinquished By Date Time 7`oo Received B � <br /> � Date �- c Time ��lr7d , <br /> CD <br /> Relinquished By Date v Time p Received By Date If N/70, Time crt <br /> Relinquished BDate Time �917"" I Received By Lab I Date If 1b ITime I DM <br /> Were Samples Received in Good Condition? ❑ Yes O No Samples on Ice? ❑Yes J No Method of Shipment Page—of <br /> 1-f o be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? 0 Yes❑No If no, what analyses are stili needed? <br /> 2) Was the report issued within the requested turnaround time? a Yes❑ No If no, what was the turnaround time? <br /> Approved by' Signature Company Date <br />