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X680Chesapeake Drive•Redwood City,CA 94063•(415)364-9600 ❑ 189391201hAve,NE,Suite101 •Bothell,WA 98011 •'2;0614181 9200 , •- <br /> UN A L (D ❑ 8 19 Striker Ave,Suite 8•Sacramento,CA 95•(916)927-9600 Q Bast 11115 Montgomery,Suite B•Spokane,WA 99206•( 24-9200 <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 f 1 T. Project Name -1707 C <br /> Address /� G�i� (�.. ,fir -L/Z`I�. R UNOCAL Protect Manager �� �s_ R <br /> City I'� %�o fey State jpi✓ode �7�i Release# <br /> " C <br /> Telephone -'ft'r tf BGG FAX# l r- 63),;-'fp Site# <br /> Report 7o f �T. == Sampler f �' QC Data -Q-Level D(Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround iqJ0 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water lAnalyses Requested I c76 c, f <br /> Time Q 2 Work Das 1:11 Work Da 1:12-8 Hours ❑ Waste Water , <br /> CODE ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other 1� <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# ��'t Comments <br /> VA �K O <br /> 2 15 7C�fi <! r� ,� n <br /> ca <br /> 3 <br /> 4 0 <br /> 6 <br /> 7 <br /> S <br /> 9 <br /> 10 <br /> m <br /> `o <br /> Relinquished By Date Tima.5 = Received By Date Time <br /> (D <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab,/'--' �`�"�` Date h ' Time <br /> Were Samples Received in Good Condition?0 Yes 0 No Samples on Ice? 0 Yes 0 No Method of Shipment 1r/c— _ Page—/Of <br /> To 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 stiff needed? <br /> 2) Was the report issued within the requested turnaround time? 0 Yes❑No If no, what was the turnaround time? <br /> Approved by Signature Company Date <br />