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❑ 680 Chesapeake Dnve•Redwood City,CA 94015)364-9600 Q 18939 120th Ave,N E,Suite 101•Bothefi,WA 96011 •�1-9200 <br /> UN (FtHL <br /> f ❑ 819 Striker Aga,Suite 8•Sacramento,CA 9 (916)921-9600 O East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 <br /> ❑ 1900 Hates Ave,Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S W E"uoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> Company Name C_I Project Name $ 55. 7 D 1 ` <br /> Address �y 35 ro.5 Lxi�_ SO UNOCAL Project Manager <br /> City 6v?7c1/C.L State Zip Code Li}OT VOIc i�,`C, A V e, S vT - I-uvL' <br /> Telephone q/6 --C 3/_ 1 :3141 FAX# 63/-/7/,7 Site# 3Q <br /> a� <br /> Re ori To _,2L:YeISampler ,/+/t./' QC Data Level A(Standard) ❑ Level B ❑ Level C ❑ Level D v <br /> Turnaround A10 Working Days ❑ 2 Working Days ❑ Drinking Water [Analyses Requested � <br /> Time- ❑ 5 WorkingDas a <br /> Y ❑ 24 Hours ❑ Waste Water <br /> ❑ 3 Working Days ❑ 2 -8 Hours ❑ Other t, <br /> Client Date/Time Matrix # of Cont Laboratory " ,LSU <br /> Sample I D Sampled Desc Cent Type Sample# �? Comments <br /> 1 <br /> 2 Z -2-. <br /> WT-_3s y I! a Cr <br /> x, <br /> 4 2ZcJ � <br /> 3 <br /> 5 <br /> m <br /> 6 } <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Q <br /> m <br /> Relinquished By mate " Time Q 'Z Received By Date T 2P Time <br /> Relinquished By gate 72; Time 9" Sit Received B Time <br /> Relinuished BvV Date Time lReceived By Lab Date aLLLTime <br /> Were Samples Received in Good Condition? Yes Q No Samples on Ice? gYes❑ No Method of Shipment Page of <br /> o be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? a Yes O 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 /> Approved by y Signature <br /> Company Date <br />