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i II IE ' <br /> UNOCAL U 680 Chesapeake Drive•Redwood City,CA 94063•(650)364 9600 U 18939 120th Ave.N E Suite 101 •Bothell,WA 98011 •(206)481-9200 <br /> ❑819 Striker Ave,Suite 8•Sacramento,CAI 95834•(916)921 9600 Q East 11115 Montgomery,Suite 8•Spokane,WA 99206.1509)924 9200 <br /> U 11 <br /> Ll 404 N Wigel Lane•Walnut Creek,CA 94598•(925)988 9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> li it <br /> Q 1455 McDowell Blvd North, Suite D•Petaluma,CA 94954•(707)792-1865 <br /> u n <br /> Consultant Company G�/f�, c�i /n c. j3,A W2- 9'6J<,44 Project Name <br /> " p/ <br /> t Address 6: +q7 S'!� UNOCAL Project Manager Mr. 1�a6 GOk ft <br /> City <br /> ken State G4, . dip Code 11 '1 AFE # g0 9 Z 1 7 i <br /> Teiephon 9LS, 5--n _ -�,s—s FAX 9 S3"l,.lj -S 7 9 Site #, City, State/03 cera/ r� G'�. a <br /> Report To Sampler L I' ^ OC Data Level D (Standard) ❑ Level C El Level ❑ Level A v <br /> Turnaround A 10 Work Days 5 Work Days Q;3 Work Days ❑ Drinking Water Analyses Requested <br /> Time ❑ 2 Work Days ❑ 1 Work Day ❑2-8 HoursI <br /> u �l )d Waste Water �(fi <br /> CODE: ❑Misc ❑Detect ❑ Eval 8emed 0 Demol U Closure ❑Other � � <br /> Client Date/Time Matrix # of +Cont Laboratory Ql �p Comments <br /> Sample I D Sampled Desc Cont ; Type Sample # <br /> I <br /> 0 <br /> 76 <br /> 2 �r ' �' h 5110�7�f II Gil x I` S -0 <br /> ca <br /> 3 u- Z `so r, 1 1I O 'K K C.t! J <br /> { <br /> 4 (� 3 +,SRM rr 4 !��` ° <br /> 5 . 4 i - 5 II 1!0 S x } <br /> s <br /> 7 (J J `/ M 1 ! `� Ib� <br /> 8 <br /> 9 0 <br /> 10 1 ' I II p <br /> Relinquished By Dale II IT$me � Received By t,/ ! ` Date .o Time <br /> Relinquished By tv?�`,(V Date 41LI-,N Time _ Received by Date <br /> Relinquished By I Ili a Received By Lab Dat b y©�99 Time <br /> II , <br /> Were Samples Received in Good Condition? U Yes U NoiSamples an Ice? Q Yes ©No Method of Shipment Page of <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chain of Custody reported? U Yes U No If no, what analyses are still needed? , <br /> 2)Was the report Issued within the requested turnaround dime? U Yes Cl No If no, what was the turnaround time? <br /> Approved _ Sl61-11- e _ _ _ Company Date <br /> � I II <br />