Laserfiche WebLink
B'6a0 Chesapeake Drive•Redwood City,CA 94415)364 9600 ❑ 18939 120th Ave,N E,Suite 101 •Bolhell,WA 98011 -*24-9200 <br /> 81-9200 <br /> ' ❑ 819 Striker Ave,Suite 6•Sacramento,CA 9109(916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206• <br /> UN AL (D <br /> ❑ 1900 Bates Ave,Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S W Sequoia Pkwy,Suite i i 0•Pordand,OR 97222-(503)624 9800 <br /> Company Name r r -� ,, C_ Project Name <br /> Address cif `�_ f��i t OM1) /"JJ f} ? ry�C/ UNOCAL Project Manager <br /> City ��i.�r �'�J �� �1Gr'� State ;�1 Zip Code Release# <br /> c <br /> Telephone I/ r �f _) / FAX# �� ?� -1�/ ,' Site# <br /> Report To f�`� L ^� l"w QC Data ❑�k2vel D(Standard) ❑ Level C 1:1Level B ❑ Level A <br /> Sam ler <br /> Turnaround10`1Nork Das ❑ 5 Work Das ❑ 3 Work Das o, <br /> Y Y Y ❑ Drinking Water Analyses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water n -- - _-- <br /> CODE: ❑ Misc IJ Detect ❑ Eval C:7 Remed ❑ Demol ❑ Closure ']Other -1 � 7�L <br /> Client __ Date/Time Matrix #of Cont Laboratory - <br /> Sample I D - Sampled Desc Cont Type Sample# r`� Comments <br /> A►Nr <br /> _o <br /> 21 J tn <br /> M <br /> 3 <br /> 4 0 <br /> w 5 Cl) <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 O <br /> io <br /> L <br /> 0 <br /> cz <br /> t .Q <br /> Relinquished By 5 <br /> Date/-?-;— Time ��..Z ~ Received By Date Time , <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received BV Lab _tet -- Date Time - �- <br /> Were Samples Received in Good Conditions❑Yes ID No Samples on Ice9 ❑Yes❑ No Method df-S�ipment (P' i-_ Page of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑ 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 /> 4 Approved by Signature Company Date <br />