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v r��.►r.� jn)y,y,Iro&F/1Vtl D4160 <br /> Sl 4Q4 N Wrgel Lane hMatnul Creed CJ19459e•(925 9Bd <br /> L) <br /> 1 <br /> 5055 S w �1�rxwy �rnre ►to•rvil a v <br /> 9 '",1 <br /> O te55 McDowell EI-d Wah Suite D•Pelaluraa CA 9;9 4-101,}T92 1 <br /> 9 Consuwl Company [ -a'l1fRe/_ PY�* 7')C_ Zv�'4 �8 �� AN Project Name /rar l.�r►J SS ¢I O[Z . <br /> Si•I�a Chu '� UNOCAL Profecl Manager fjT �cf� Bc�u <br /> Address 6 � �" � • j � j <br /> ccf=f= Y <br /> a State Cc► Z1p Code 7,V f'GS A <br /> $ite r, city, stale <br /> cam, <br /> !f-}-s' l_ .I'S <br /> FAX N(9z r- -S7- 71 /63#/ Cil r�► <br /> Telephone O Leval C ❑ L <br /> f� QC Data Level D <br /> Report'To be4 n,. L �l (standa+dl >Wel B Le <br /> `� +ret !1 <br /> �A Sampler %isl.� 7; Jj ion c <br /> U Drinking Water Analyses Requested <br /> U 3 VI oA DaR <br /> Tbinamund to Work Days J 5 WoA Days Days <br /> '� <br /> M Tbvw 2 Work Oays r.l Mork Day 0 2-8 Hours ;SWMw Water <br /> U Other 4 <br /> Lo {)�: ❑k,4= U t)elecy Q Eval D iieRFed D DOR <br /> WI 7 Closure \ <br /> m Q Comments <br /> Ctrenl Date[Time Maim J of Cont Laboratory <br /> in <br /> m Q <br /> a Sarrrpte I Q Sampled Desc Cont Type Sample 0 <br /> 903UG <br /> J <br /> T� _ LB 3 l <br /> -- - � 903166 <br /> �e' <br /> � o <br /> 3, U . Z , <br /> 9031670 <br /> 4. <br /> CE 6 <br /> 6 41 <br /> 4L W1102 <br /> rte– B n <br /> W 9 <br /> 0 <br /> to <br /> lime t y <br /> u Date j Time I �� ec a rued By <br /> Date r <br /> Relnqurshed By . <br /> Received By <br /> Date Time <br /> � Retnqulshed fay Date Time <br /> �. Relinquished 8y Date <br /> erne Received By lab .� Dalt:�rr� rirrle r J <br /> in Wer[:SBrt+Cles Reoenr,ad m Good Gondrt►on7 Utes D No Samples on ice? U Yes No AAethad d St►4me� <br /> sage ._.._ 04 — <br /> au -Vo be completed upon (eoerpt at report --- --" <br /> t)Were the analyses requested on ilia Cham of Custody reported 0 Yes U No If no what analyses are still needed � — <br /> o: round time') <br /> 2)Was the report r55ited within the requested tumartime') L]Yes 0No If no, what was the turnaro`nd tirne7 ^.: Date_. <br /> Q f� W Signature <br /> Approved by _ C°mparry ---�.' <br />