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❑ 680 Chesapeake Dnve•Redwood City,CA 9 • <br /> (415)364-9600 ❑ 18939120th Ave,Ave,NE,Suite101 •botneii,WA anuii 40 acw <br /> ❑ 819 Striker Ave,Suite a•Sacramento, - 95(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206 924-9200 <br /> UN CAL <br /> ❑ 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988-5600 ❑ 15055 S W Sequoia Pkwy,5urte 110•Portland,OR 97222•(500)624-9800 <br /> Consultant Company 0 e ze– G►ri -T/)C:. �j ��` Project Name rina.✓ L/h ac.� —S-94 C)f Z 3 <br /> Address (`�� s/�r�` Co Y �`Q' �' UNOCAL Project Manager Mr Azo '900,3 ' <br /> 1 <br /> City b ce k-'I State COD, • Zip Code 9Y91C T AFE# <br /> Telephone 9 sS"1—�Sr�� FAX 92,T` sM-)� 9 site#,City,State 1D [��7rGt G. rfc Cs i U <br /> Report To Deer - AQf� Sampler V' � 7457 140 OC Data Level D (Standard ElLevel C El Level B ❑ Level A a <br /> Tumaround10 Work Days ❑ eWork Days ❑ 3 Work Days ❑ Drinking Water Anal ses Re uested <br /> Tsme• ❑ 2 Work Das ❑ 1 Work Da 02-81-lours /IQ Waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other h \� <br /> Client DatelTtme Matrix #of Cant Laboratory �Q Comments <br /> Sample I D Sampled Desc Cont Type Sample# <br /> 1 -rg- x-13 6 a� 1�}t� JA 0 <br /> r � � <br /> 3 (,) – y a 1�M –Z o <br /> 690 1 <br /> 0.u. � M 4 oi' <br /> 7 t�- jtia --� 07 K ?C <br /> B <br /> 9 � <br /> 0 <br /> 10 `0 <br /> Relinquished By Date Time I� Received By Z41 Date Time z <br /> Relinquished By 4 Date �Q Time (? Received B Date ime 3 <br /> Relin uished B Date Time Received B Lab <br /> Date J/614,Time <br /> Were Samples Received in Good Condition?❑Yes❑No Samples on Ice? ❑Yes❑No Method of Shipment Page of_ <br /> o be competed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes❑No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes 0 No If no,what was the turnaround time? <br /> —Company Date <br /> Approved by Signature <br />