Laserfiche WebLink
,1 680 Chesapeake O1N1•Redwood 01, CA 9 4.1415)364-9600 G 18939 120th Ave N E Suite 101 •Bothell WA 98011#6)481-9200 <br /> UNCAL , <br /> U 819 Striker Ave Suite 8•Sacramento,C, 4•1916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 9920 )924 9200 <br /> U 1900 Bates Ave,Suite LM•Concord CA 94520•(510)686 9600 O 15055 S W Sequoia Pkwy State i 10•Portland OR 97222.(503)624 9800 � <br /> Company Name Q) .a Project Name <br /> Address QR UNOCAL Project Manager C , <br /> City State Z,1� Zip Code `�y;v ,'7 (� Release# <br /> Telephone�`j j(�� U J O C) FAX #�"I)Q fn�) j" Site# Coo/°f 11L1 v <br /> Report To C n .,.2� ISampler �}..�� -4a(,�' QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A c <br /> Turnaround ❑ i0 ork DaYs ❑ 5 Work DaYs ❑ 3 Work DaYs Drinking Water [Analyses Re uested a <br /> Time �2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE. ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol I--) Closure ❑ Other <br /> Client DatelTime Matrix #of Cant Laboratory <br /> Sample 1 D Sampled Desc Cont Type Sample# ,�Z� Comments <br /> yr,�\.�; 7a�•�=;� t�` 1�� i3A� 5121825 s <br /> 2 1 °a t^,- l�'� • , I t, 5121826 -J\ 0 <br /> 3 <br /> 3 <br /> 4 <br /> 0 <br /> a� <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 0 <br /> 0 <br /> c„ <br /> Relinquished By Date l -�`�`��Time 1'10C) ReceivedBy Date M2 ZU Time q' qC) <br /> Relinquished By Date Z Time I I ' JCS Received By Date Time <br /> Relinquished By I Date ITime I Received By Lab Date IZ c' �t Time W76) <br /> Were Samples Received in Good Condition?❑Yes C3 No Samples on Ice'? Q Yes C3 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? ID Yes❑ No If no, what analyses are still needed? --- � <br /> 2) Was the report issued within the requested turnaround time? IJ Yes C3 No If no,what was the turnaround time? - - -- <br /> Approved by _ Signature _ __ __ Company __ __�_ __ Date <br />