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6-f"'680 Chesapeake Drive•Redwood City,CA 94063•(415)364 9600 U 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 •(206)481 9200 <br /> UNOCAL O 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921 9600 O East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 <br /> iJ 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> Consultant Company I Project Name U , <br /> Addressp UNOCAL Project Manager <br /> -Ed RoLkllm <br /> City sa P,,k ilL State C A Zip Code 951 J AFE# .. <br /> at <br /> Telephone -16-00 FAX# -7532 Site#, City, State ( } ,�. 0 Av <br /> Report To �p INl k i Sam ler Je��La-Nellt,cnn IQC Data Z Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> a <br /> Turnaround ❑ 10 Work Days ❑5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Re uested �G'f G Z <br /> Time, ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc ❑ Detect 2r Eval ❑ Remed ❑ Demol ❑ Closure &"Other <br /> � <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 1 Z Cd <br /> Z I C 2ylead > <br /> SFZ A— <br /> a} <br /> '17 <br /> C 17,0 <br /> DJf !zs <br /> 9 <br /> 0 <br /> 10 F7 I P <br /> L <br /> 0 <br /> Relinquished By Inill, Date lllq Time Received B Date Time 3' <br /> m <br /> Relinquitshed By Date 1 [ q� Time Received By Dated /. l Time/d=-5 <br /> Relinquished B Dkell� Time Received B Lab Date �! NTime << 3 <br /> Were Samples Received in Good Condition?0 Yes U No Samples on Ice? ❑Yes❑ No Method of ShipnUV Page__ of <br /> F To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑ No If no,what analyses are still needed? <br /> 2) the report issued within the requested turnaround time? LJ Yes❑ If no, what was the turnaround time? <br /> Annrn� Sianature _ --Company <br />