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O 680 Chesapeake 116ve■Redfflwl City,CA9 (415)364-9600 ❑ 18M12M Ave.,N.E.,Suite 101 •6alhe11,WA 98011• 481-9200 <br /> UNOCAL <br /> ❑ 919 Striker Aire_,Suite 8•Sacramenln,GA 95934•(9t G)921-Mo ❑ East 11115 Mor�omery,Suite 8•Spokana,WA 9�6 )924-9200 ; <br /> ❑ 404 N.Wigg)LaM•Walnul Creak,CA 94598•(510)9138.960(} ❑ 15065 S W.Set�oia Pkv�y.SUM 10•portlarrd.Old 67222•(503)624 9eoa <br /> FReporffo-. <br /> tant Company: Project Name: <br /> s: '! UNOCAL Project Manager: <br /> State: Zip Code: AFE 2 mDrle: �/ � f FAX#: f Site#,City,State: -MW-f, l� Fs:Zier- OC Data: ❑ Level D Standard ❑ Level C 0 Levet B ❑ Level A c <br /> IL <br /> Turnaround ❑ 1 D Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal ses Re uested <br /> Time: 0 Work Das X, Worts Day L] 2-8 Hours ❑ waste Water <br /> CODE: ❑ Misc. ❑ Detect. ❑ Eval. ❑ Remed. ❑Dernol_❑ Closure ❑ Other <br /> Client DateJTime Matrix #of Cont. Laboratory <br /> Sample I.D_ Sampled Desc. Cont. Type Sample# Comments <br /> 2~ <br /> C, 0 <br /> lulu I Ilaid <br /> 20)(-Z -0 <br /> a L G9Q <br /> 07 Ck 3.5�a j Tn� <br /> Q <br /> ' 3 c ti cpm tre <br /> n 9. F <br /> o <br /> En 10. 0 <br /> f <br /> N Relinquished By: Date: Time-L Received S Dale: Time:: m <br /> AIF <br /> Relinquished By: <br /> t '*zTIme:00— ' Received By: Date: Time: <br /> m � <br /> Tin <br /> Relinquished Date: Time: Received Bv La Date: Time: <br /> Were Samples Received in Good Condition?Q Yes❑No Samples on toe? Q Yes a No MED) <br /> ho of Shipment Page_of <br /> z <br /> To be completed upon receipt ol report: <br /> 1 j Were the analyses requested on the Chain of Custody reported? 0 Yes a No It no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? t]Yes❑No If no,what was the turnaround time? <br /> Approved Signature: Company: Dale: <br /> PP by: <br />