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U 680 Chesapeake Drive•Redwood City,CA 94063 111151364,9611 ❑ 18939 120th Ave.,N.E.,Suite 101•Bothell,WA 98011 •(206)481.9200 ® UNOCAL 0 U 819 Striker Ave.,Suite 8•Sacramento,CA 95834•(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 U 404 N.Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 ❑ 15055 S.W.Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 Consultant Company: \ 1L I Project Name: 1L,R-10 mZzlr3 LZ�- Address: I� t Sv o L Cade—de— UNOCAL Project Manager: ED )2A City: ,(meq n Lip povA State: C J� Zip Code-95-N_L AFE#: plc, ?j,Ll_o 7ft'ECIZ 1 S8 b Telephoned Q�l, $��c z3�� FAX#: 911, 8� Z 3 Site#, City, State: " IZ01 L Rp"� U Report To: I , S \5 Sam ler v� R� QC Data: Level D(standard) ❑ Level C ❑ Level B ❑ Level A Turnaround 4 10 Work Days 5 Work Days J3WorkDays ❑ Drinking Water Anal ses Requested a Time: 1-12 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water "1. CODE: Misc. Detect. ❑ Eval. ❑ Remed. ❑ Demol. ❑ Closure A Other �v W� v / Client Date/Time Matrix #of Cont. Laboratory U^ Sample I.D. Sampled Desc. Cont. Type Sample# �d �u �� 0 Comments o co 2. 0:30 5 �Ltn X �LQ n° ca 3 S� Z Ja:90 4 l l X u dAe 4. S—,?3 s. � 6. 7. 8 9. 10. o m o` J Relinquished By: ate:///4 4 Time: G Received B : Date:/// Time: d Relinquished By: 0 Date:// Time: O Received By: Date: Time: L ^� 3 Relinquished By: Date: Time: Received B Lab DatJ1 Time: Or Were Samples Received in Good Condition?/Yes O No Samples on Ice? /Yes❑No Method of Shipment S'p N.G(Di// Page 7 of :4 To be competed upon receipt of report: 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑No If no,what analyses are still needed? 2) Was the report issued within the requested turnaround time? ❑Yes❑ No If no,what was the turnaround time? Approved by: __Signature: __ __ __ _ _Company: Date: