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j 11 1180 Chesapeake Drive•Redwood City,CA t ^ ■(416)3844800 0 IBM 1201h Ave.,H.E.,SW Ie 101■BMW,WA 6801 7)x)4at-6200 <br /> UNOCAL O 6t9 SMkw Aw,.Suite B•Sacramento,CA 46834•(Die)821-6800 O Earl t 1115 Htonlgommy.Suftee•Spokane,WA 99206•(6W)924.6200 <br /> O 404 N.Wigel Lane Woman Creak,CA 94596•(510 98&9800 p 15065 S.W.Sequc>aei Pkwy■Sufis 110•ParIVA OR 87222•15R OHM <br /> 0 FAddiess, <br /> nt Company: -r Project Name: ��l l .� <br /> 7 <br /> L 13j� - UNOCAL Project Manager: <br /> N , stale: Zip Code: / AFE 4: .. <br /> c <br /> Tele one: / "" c3 FAX#_: g58- 40�3S'. Sits#.City.State: <br /> Re art To: / / Sam ter. G t.(1 OC Data: ❑ Level D Slanaard D Laves C ❑Level S 0 Level A <br /> Turnaround ❑ 10 Work Days ❑5 Work Days ❑3 Work Days ❑ Drinking Water lAnalysed Ra uesied U. <br /> Time: 2 Work Das ❑ 1 Work Da ❑2-8 Hours ❑ Waste Water <br /> CODE:❑ Misc. ❑ Detect. ❑ Evai.'❑Rarned ❑ Demol.a Closure ❑ Qlher J,Q <br /> tient Date/time Matrix #at Cont. Laboratory � q` <br /> Sample I.D. Sampled Desc. Coni.' Type Sample# � Comments <br /> ld <br /> 3S'` 3 <br /> a5-1 bs <br /> s. -� X1r �- <br /> -a <br /> x. (. <br /> V.a 4-4U <br /> \ <br /> Q <br /> H <br /> t Ll <br /> y <br /> a lo. <br /> F <br /> Relinquished By; le: Tim Neceived S Date: <br /> s Rslinquished By: Dellwy it Time Received BY: ate: me: <br /> Relinquished9 Oat i e• ci:tved L b• •! e: <br /> .L <br /> N Were Samples Received in Good Condltlon?©You 0 No Samples on toe? Q Yes 13NP Method of Shipment Page_of— <br /> To be completed upon receipt MrWC <br /> 1) Were the analyses(equasted on the Chain of Custody reported? U Yea❑No if no,what analyses are still needed? _ <br /> 2) Was the report issued W ftn the requested turnaround lime?UYes U No tf no,what was the turnaround time? <br /> Approved by: Signature: Company: Data: <br />