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0 680 C18"18aka Id"•RadwOOd City,CA 94083•(415)384.9600 0 18939 12081 Ave.,N.E.,Suit®101•BoltAj.WA 98011•i208)481-9200 <br /> U O/� A 0 819 Striker Ave.,Su11e9•S9cramento,CA 95834•(9ie)921-9a00 ❑ EaM 11115 Montgomery,Suite B•9paken0,WA 99908•{509)924-9200 <br /> Lf•� <br /> L3 404N.Wiget Lane•WalnutCreek,CA 94698•(Si0)9Ba.9M Q 150 B.W.Sequoia Pkwy,Sita 110•PoNand,OR 97222 (WS)6244EW ro <br /> Consultant CompanyPh 2 <br /> Project Name: C.` <br /> CI- <br /> A <br /> Address: SAN 6a Lr- S.yV/j ProjeClManager. <br /> City; ,),C cwkuc, State: C-ia Zip Code: 5 ; APE#: � a <br /> ' v <br /> elephone: �Fs-Z351.1 FAX*-. �lf,L �f.'ST6 -7�.55" Slte#,city,State: V � <br /> Re ort To: l 1�a 51C ler: /II S'T� / JSP DC DataX Level D(standard) ❑ Level C ❑ Level B ❑ Level A " °q <br /> c <br /> Turnaround V 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal s Re nested a <br /> Time: ❑2 Work Das ❑ 1 Work Da ❑2-8 Hours ❑ Waste Water <br /> CODE: ❑Misc. ❑ Dateol. �Evel. 0 Flamed. O Demol.❑Closure Other l e <br /> Client Dale/Time Matrix #ofCont. Laboratory c <br /> AM <br /> Sample LD. Sampled Dow, Cont, Type sample# <br /> rnp Comments <br /> 4� <br /> n yidj c y <br /> 0 <br /> 7. ? <br /> z <br /> B. <br /> a. <br /> 10. <br /> 11rr`` <br /> Relinqulshedlsy:j' Date:,l1 ,Dh Time:ra30 ReceivedB : Date' Time: 14i r <br /> RellnquishedBy DaW.'/ Time: 17L40 Recelved Rata: Time: <br /> R II ha Date: kmw Received Lab: Da /} dTime: <br /> Were Samples Received In Good Condition? Yes I]No Samples an Ice? Yse O No MatfrodotI34prnent,`� Page`of— <br /> e be completed upon receipt of report: <br /> 1) Were the enalyees requested on the Chain of Custody reported? ❑Yes❑No It no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes O No If no,what was the turnaround time? <br /> Approved by: Signature: Compo ty Date: U <br />