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680 Chesapeake Drive•Redwood City,CA 9406*4415)364-9600 U 18939 120th Ave N E,Suite 101 •Bothell WA 98011 •(2*1 9200 <br /> UNOCAL <br /> N O C A f` r U 819 Slr iker Ave Suite 8•Sacramento,CA 95834•(916)921 9600 U East 11 115 Monigornery Suite B•Spokane WA 99206•(509)924 9200 <br /> fV <br /> IJ 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 'J 15055 S W Sequoia Pkwy Suile 110•Poriiand OR 97222•(503)624 9800 <br /> Consultant Company Ceee,,��n, me,% Project Name ` 2,t <br /> pe,I <br /> Address rp7`�7 S�CI��+ C f sic 7 e J j Y0162, z_ UNOCAL Project Managers .1 <br /> City State Zip Code AFE # <br /> ff -- a� <br /> Telephone (Sio� SS(~ 7SSS FAX # (o �I •-�&� Site #, City, State s� Zf S�c 1 U <br /> Re ori To �t �<�a� `+`ter iSarnpler C 6q (&e.fh -A e QC Data ❑ Level D (standard) 1:) Level C I.] Level B ❑ Level A <br /> Turnaround 10 Work Days I:J 5 Work Days tJ 3 Work Days IJ Drinking Water JAnalyses Re uesled <br /> Time 2 Work Das t 1 Work Da 1-12-8 Hours IJ Waste Water �� 5 <br /> CODE. U Misc Detect ❑ Eval U Remed I] Demol U Closure 01Other ��J�L <br /> Client Date/Time Matrix Hof Cont Laboratory �`� (� ' rlI v L ,4 i, <br /> Sample 1 D Sampled Desc Cont Type Sample # Comments <br /> ` 1 — t <br /> iE i IS'�1 ���� 1 fiube. Y-1 f,TPN <br /> 3 ps1 I OnIYTO <br /> c,tiil <br /> 5 T Z— cel V0 13I D } <br /> K <br /> 8 <br /> 0 <br /> 11} is <br /> L <br /> Q <br /> �II <br /> Relinquished By Date S Time Received By Date `j/(S- 73 Time r{[Utr <br /> Relinquished By Date iG l Time Cs Received By Date Time G <br /> ��G �a' Time �5 Received B Lab IU tZ _ Date j <br /> Relin ulsized B �C�� Date ' 1L ITime <br /> Were Samples Received in Good Condition?❑ Yes iJ No Samples on Ice? 13 Yes U 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? i]Yes U No If no,what analyses are stilt needed ---- — ----- --- <br /> 2) Was the report issued within the requested turnaround time? I,Yes❑ No If no, what was the turnaround timet --__ -_---- -- <br /> Sionature _ _ _ _ Company _ _____ ___ _ __ - - -_ _ Date <br />