Laserfiche WebLink
t <br /> Q 819 Striker Ave,Suite 8•Sacramento,CA •(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206 )924 924 <br /> UNOCAL <br /> O 1900 Bates Ave,Suite LM•Concord,CA 940510)686-9600 Q 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 9722 )624 98x0 <br /> Company Name �tf �. 7r^+) �� Project Name <br /> Address � (f UNOCAL Project Manager, <br /> City C -� f %r��r��ri State' r�Y� Zip Codec_>_s Release# f <br /> U, <br /> City Jr«✓- <br /> r <br /> Telephone c �5I "f�Gt� FAX# J� Site# f, ';� 1 L, /�% �,l <br /> ;r l <br /> ` <br /> Report To FSampler / QC Data ID,­L"evel D(Standard) IDLevel C ❑ Level B ❑ Level A <br /> l � r� , �+��- �' � �- -~� <br /> Turnaround .❑ 1 p Work Das ❑ 5 Work Das ❑ 3 Work Days <br /> �y y Y Y IJ Drinking Water Anal ses Requested 61',10( <br /> Time ❑ 2 Work Days ❑ 1 Work Da ❑ 2-8 Hours ❑ Waste Water <br /> CODE. ❑ Mtsc ❑ Detect ❑ EvaI,J Remed ❑ Demol ❑ Closure ❑ Other "r <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> �1 a <br /> 3 <br /> f t `s o <br /> _ } <br /> v <br /> 7 <br /> 8 <br /> 9 � <br /> 0 <br /> 110 `c <br /> L <br /> 0 <br /> ���--� <br /> Date/ , �` Time cti�� Received B ( v� riR Date ��( Time <br /> Relinquished By ._�� 1 <br /> �1 r Date r.f W Time �, Received B im !-- --- Date ,�,� /,Time / _= <br /> Relinquished By s �� , <br /> Relinquished Bifr. 4 �� Date / `- ime Received B Lab�^ (,2 Date i l Al t Time 1 ` <br /> Were Samples Received in Good Condition?1:1 Yes 0 No Samples on Ice? ❑Yes 13 No Method of Shipment �/{ ' Page—) of <br /> To be completed upon receipt of report , <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes U 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 /> ��� Approved by Signature Company Date <br />