Laserfiche WebLink
80 Chesapeake Drive+Redwood City,CA 9 !(415)364-9600 O 18939120th Ave,N E,Suite 101 •Bothell,WA 98011 • 481-9200 <br /> UNCAL (D <br /> ❑ 819 Striker Ave,Suite 8•Sacramento,CA 95834•(9 16)921-9600 O East 11115 Montgomery,Suite B•Spokane,WA 99206• }924-9200 <br /> ❑ 1900 Bates 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 C evsr Project Name G <br /> Address ! I UNOCAL Project Manager ek �y <br /> City Vi('i�f*j (0itl�State Zip Code Release# <br /> Telephone j'1307,1 FAX ! � C <br /> v <br /> Re ortTo ,!/1� (—a�✓ Sam !er 5�� QC Data -vel D(Standard) IJLevel C ❑ Level B ❑ Level A � <br /> Turnaround �2f <br /> 0 Work Das ❑ 5 Work Das ❑ 3 Work Das C, <br /> Y Y Y ❑ Drinking Water Analyses Re nested t'7U 54 <br /> Time Work Das 1:11 Wor Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE' ❑ Mrsc ❑ Detect ❑ Eval Remed ❑ Demo] ❑ Closure ❑ Other 1d <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> ca <br /> J <br /> 3 <br /> 3 <br /> 4 0 <br /> m <br /> 5 <br /> } <br /> 6 <br /> I <br /> 7 <br /> 8 (n29 _ 5 <br /> 9 <br /> 10 a <br /> 2 <br /> o <br /> ce <br /> Relinquished By Dat -a .cls Time Received By Date Time 49C_'4�.J J <br /> m <br /> Relinquished By Date �¢ Time Received B Date q Time ;C7 dA <br /> ! f f , <br /> Relin unshed B Date g Time 63.< Received B Lab Date qk-111 Time 6" <br /> Were Samples Received in Good Condition?ID Yes❑No Samples on Ice? ❑Yes❑ No MethoA of Shipment Page I of <br /> To be completed upon receipt of report 1 <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes a No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time) ❑Yes❑No If no,what was the turnaround time? <br /> 1 Approved by Signature _Company __ Date <br />