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U 690 Cnesapeake Drive•Redwood Cay, CA 91063 111151364-9600 U 18939 120th Ave.,N.E.,Suite 101•Bothell,WA 98011 •(206)481-9290 <br /> r UNOCAL 0 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 /> U 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: < ,G Project Name: <br /> o <br /> Address 1� I� S� L Ct)ZJe_ UNOCAL Project Manager: ED <br /> City: IC.4%r­) �,hp Woo State: Zip Code:911 z AFE #: � � o -Alk-ECS 158 b <br /> Telephoned q\�, qj Z3�� FAX#: �jl"� a� Z3 �y Site#, City, State: l�� L gyp? v <br /> Re ort Td: 1L.'S � � Sam ler VIL- 1QC Data: Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround Z410 Work Days X5 Work Days J 3 Work Days 1-1 Drinking Water Analyses Requested d <br /> Time: J 2 Work Das J 1 Work Day J 2-8 Hours �h gr <br /> J Waste Water <br /> CODE: Mlsc. O Detect. J Eval. O Remed. J Demol. J Closure 14 Other <br /> Wv 11 <br /> Client Date/Time Matrix # of Cont. Laboratory U^ c tQ` `/Sr v e <br /> Sample I.D. Sampled Desc. Cont. Type Sample# �ir Ar Comments <br /> A <br /> 3:40 W9 vg2ro.5 <br /> X x x S <br /> 2. S7{ - 1 14:3D 5 �tn L X 60L0 �° <br /> 3 S� Z 14:90 0 <br /> 453 14:��I) 4 K � o <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 0 0 <br /> m <br /> 11 <br /> o` <br /> a <br /> m <br /> Relinquished By: ate:///4 4 Time: /63,(-- Received B Date:/// q Time: <br /> a� <br /> Rehnqulshed By: 0 Date:// Time: p Received By: Date: Time: L <br /> Reim uished By: Date: lTim.: Received BV Lab' Date:' Time: <br /> Were Samples Received in Good Condition?/Yes O No Samples on Ice? C Irlyes Q No Method of Shipment -Sr G L/O/i/ Page 7 of <br /> To be completed upon receipt of report: <br /> 1) Were the analyses requested on the Chain of Custody reported? IJ Yes U No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? U Yes J No If no, what was the turnaround time? <br /> Anprovedby _ Si nature: <br /> g Company: — Date: <br />