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0 U 6110 Chesapeake Drive•Redwood 01y CA 940615)364 9600 U 16939 120th Ave N E Suite 101 •Bothell,WA 98011 •(4981 9200 <br /> (D U 819 Striker Ave,Suite 8•Sacramento CA 95834•{916)921 9600 U East 11115 Montgomery Suite B•Spokane WA 99206•(509)924 9200 <br /> UNOCAL <br /> U 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy Suite 110•PonMind OR 97222•(503)624 9800 <br /> Consultant Company C Project NameS7—Aoo F, <br /> �O <br /> Address �S' 10 UNOCAL Project Manager <br /> City JyVtate11.41- <br /> Zip Code C�S-7Z AFI= # <br /> II c <br /> Telephone ZJSb FAX 911A���pp o Z3S7 Site #, City, State T <br /> U <br /> Report To ni-Mkna, TSampler_ QC Data 41-evel D (Standard) LI Level C ❑ Level B U Level A � <br /> Turnaround I] 10 Work Days * 5 Work Days ❑ 3 Work Days U Drinking Water JAnalyses Re nested <br /> Time 1-12 Work Das 1-11 Work Day IJ 2-8 Hours IJ Waste Water <br /> CODE.*Misc IJ Detect U Eval 1J Remed ❑ Demo1 IJ Closure 10 Other <br /> Client Date/Time Matrix # o6 Cont Laboratory .r n <br /> v <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> 1 V2 1 C - ° <br /> 2 ° <br /> m <br /> 3 J <br /> 4 0 <br /> a� <br /> 5 } <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 ° <br /> co <br /> 0 <br /> ro <br /> Relinquished ByDate Z` Time J (p Received B ��� p Date $ z i Time b 3 <br /> a� <br /> Relinquished By �• 4' Time v PSCC Received By Date Time <br /> Relinquished B L 14 �� <br /> Dat?�.I� ,k Time �3.!— Received B L' � �L Date � Time <br /> Were Samples Receiv d in Goo Condition?�j Yes t.d No Samples on Ice? Yes U No Method of Shipment SC'C��D�� Page_of_ <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes U No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? 1.1 Yes f-J No It no, what was the turnaround lime? _ -- <br /> Approved by Signature Company _ _ Date _ <br />