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, J 680 Chesapeake Drive•Redwood City CA 94 15)364-9600 J 18939 120th Ave N E Suite 101 •Bothell WA 98011 • 81-9200 U J 819 Striker Ave Suite 8•Sacramento,CA 9583 916)921-9600 :7 East 11115 Montgomery,Suite B•Spokane,WA 99206•( 924 9200 &AL J 404 N Wiget Lane•Walnut Creek CA 94598•(510)988-9600 'J 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)624-9800 Consultant Company C`rrLER _ �t � 0 -ff I f' D 1 tJ�e O Project Name u 0 C�l 4. 0 c T i7 ST-,, t K Address LO 5 llcuu C* 5-leT UNOCAL Project Manager 67 V RRL S7 O N City D U B L IN State C fk Zip Code 94- 6 F AFE# _ Telephone �y � p Jr`10� �j 5 - i 5 55 FAX # 55 I- I $9$ Site#, Ctty, State 'T3 0 3 P fl C t F 4 C A4 m , v Report To C L�Dl R' 01ISampler QQ �- - f`t t& �Z V PCK QC Data Level D (standard) ❑ Levei C ❑ Level B ❑ Level A Turnaround ❑ 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water lAnalyses Requested Time ❑ 2 Work Das XJ Work Day ❑ 2-8 Hours ❑ Waste Water CODE ❑ Misc I❑ Detect ❑ Eval ❑ Remed ❑ Demo] ❑ Closure Other Client Date/Time Matrix # of Cont Laboratory Sample I D Sampled Desc Cont Type Sample # Cj Comments --9,6 l SOIL ! u8 o 2u - 0,I 9SPILI l YuBLco 80 141q 3 ro J 4 0 5 6 7 8 9 10 0 co L rtert .0 Relinquished By ate rn Ime Received B Date Timerl v Relinquished By ate Time Received By Date Time Relinquished B Date ITime Received By Lab .ter Date L4 al Time Were Samples Received in Good Condition?J Yes Q No Samples on Ice? ❑ Yes ID No Method of Shipment Page_of To be completed upon receipt of report 1) Were the analyses requested on the Chain of Custody reported? 1-1 Yes U No If no, what analyses are still needed? 2) Was the report issued within the requested turnaround time? U Yes D No If no, what was the turnaround time? Approved by - - - -- — - - - - - - ----Signature _ - - --- - - -Company -- ----Date -