Laserfiche WebLink
ZY680Chesapeakeanve•RedwoodCity,CA 94063•(415)364-9600 ❑ 18939120th Ave,N E,Suite 101 •Bothell,WA 98011 •(206)481-9200UN(* . <br /> f El819 Stnker Ave,Suite 8•Sacramento,CA 95 (916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206•( 24-9200 <br /> A L p 1900 Bates Ave,Suite LM•Concord CA 94520. 510 Sequoia Pkwy,Suite 110•Portland OR 97222 624-9800 <br /> 686-9600 d 15055 S W 5 . , r <br /> ( 3) <br /> I <br /> Company Name C 'rC>a; -«, �- Project Name V , <br /> Address ,, �� 5 ,. E � , err ,J, ?y/J UNOCAL Project Manager rl �G�iy11 <br /> City- �' ,,!f f; ,-y'ni;' State C'{� Zip Code Z� Release# �l�G( >> , <br /> Telephone �,tr- �r �J % Chi FAX 1k �l %� �f !— , % 12. v <br /> Report To ISampler �� 1 C QC Data Q-Level D (standard) ❑ Leve! C ❑ Level B ❑ Level A <br /> Turnaround ❑ 10 Work Das 1:15 Work Das ❑ 3 Work Das 0- <br /> YY Y Drinking Water Anal ses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Da 1:12-8 Hours ❑ Waste Water <br /> CODE- ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other <br /> Client Date/Time Matrix #of Cont Laboratory <br /> f Sample I D Sampled Desc Cont- Type Sample# �' Comments <br /> 76' /71; It 1i�E Z z �° a <br /> cd <br /> 3 ?� 21 <br /> 4 - o <br /> 5 <br /> 6 z <br /> 7 <br /> 8 r <br /> g ' <br /> 10 i <br /> 1 t <br /> Relinquished By, y, /_ Date)1-` Time Received By "W r/1 Date ! ime , , <br /> Relinquished By ; ' 1` Date �� �^ Time � / Received B Date '/// Aime fCi I <br /> Da/e / Time Received B `La Z 32-t <br /> Relinquished B �� t!� Y Date ime <br /> f k <br /> " Were Samples Received in Good Conditions❑Yes a No Samples on Ice? ❑Yes-EN Nd Method of Shipment le Page I of I <br /> yTo be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? a Yes❑ No If no;what analyses are std) needed? <br /> 2) Was the report Issued within the requested turnaround time? ❑Yes❑ No If no,*hat was the turnaround time? <br /> si,� <br /> Approved by Signature Company Date <br /> � ,r <br />