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C3680 Chesapeake Drive•Redwood City,CA 94015)364 9600 ❑ 18939120th Ave,N E,Suite 101•Bothell,WA 98011 •0481-9200 <br /> UN <br /> RL (D <br /> -&819 Striker Ave,Suite 8•Sacramento,CA 95834-(916)921-9600 ❑ East 11115 Montgomery,Suite 8•Spokane,WA 99206•(509)924 9200 <br /> ❑ 1900 Bales Ave,Suite LM•Concord,CA 94520-(510)686-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> Company Name �Ea�TZe1 Project Name � C, G/Y� <br /> Address �p�S � � - F� UNOCAL Project Manager <br /> City d/A State Zip Code qs_--477a <br /> Telephon 9/ 6,7/_ 3 4 FAX 9/() 63/- Site # <br /> ,Report To 717Sampler QC Data Kevel A (Standard) ❑ Level 13 ❑ Level C ❑ Level D v <br /> Turnaround 10 Working Days ❑ 2 Working Days ❑ Drinking Water lAnalyses Requested ii <br /> Time. ❑ 5 Working Days 1:124 Hours ❑ Waste Water <br /> ❑ 3 Working Days ❑ 2 -8 Hours ❑ Other <br /> Client Dateffirne Matrix #of Cant Laboratory <br /> Sample 1 D Sampled Desc Cont Type Sample # �+� Comments <br /> 1SZ'-ffloz-348co 0 1 <br /> 2 0 <br /> D <br /> Cr <br /> 3 w <br /> Co <br /> 4 3 <br /> 0 <br /> 5 <br /> s <br /> 8 <br /> 9 <br /> 10 0 <br /> a� <br /> U) <br /> Relinquished By Hate 1 ,?yf Time Y 0 P Received 6 Date S_ � '-(Time <br /> E <br /> Relinquished 8 5- DatZ/3/� TimeOtS Received B Date <br /> Time <br /> Relinquished Date ITime Received By Lab l) Date Ttme <br /> Were Samples Received in Good Condition? 0 Yes❑ No Samples on Ice? ❑ Yes❑ 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? 0 Yes 0 No If no, what analyses are still needed? <br /> '2) Was the report issued within the requested turnaround time? 0 Yes 0 No if no, what was the turnaround time? <br /> Approved by Signature Company Date <br />