Laserfiche WebLink
U680 Chesapeake Drive•Redwood City,CA 940 15)364-9600 C) 18939 120th Ave,N E,Sete 101 •Bothell,WA 98011 •( 1-9290. <br /> U piV A � ❑ 819 Striker Ave,Suite 8•5acramento CA 95 •(9 16)921-9600 ❑ East 11115 Montgomery Suite B•Spokane,WA 99206•(W924 92000 <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 Project Name L <br /> Address C � Q� �j UNOCAL Project Manager Gv sZ�I <br /> City Stat C Zip Code Release# <br /> Telephone j��. FAX# ���'`��� Site# �Gl A ' �/ 1f' a� <br /> U <br /> Repo To 6P 13.:5 ISampler el'G / 1QC Dat etD (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> a <br /> Turnaround a-tuvork Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal ses Requested <br /> Time 1:12 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water I `� <br /> CODE: ❑ Mlsc ❑ Detect ❑ Eva] emed ❑ Demol ❑ Closure Other <br /> Client Datef ime Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> ° <br /> CU <br /> 3 <br /> 3 <br /> 4 <br /> m <br /> 5 } <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 0 <br /> 10 CO <br /> 0 <br /> lac ca <br /> Relinquished ByDat Z-S Tim carve B Date Time <br /> m <br /> Relinquish Date ime <br /> Relinquished Date JTime Received By Lab Date&4u Time <br /> Were Samples Received in Good Conditigj3r�I`Yes Q No Samples on Ice? ❑Yes 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❑ No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? a Yes❑ No If no,what was the turnaround time? <br /> Approved by Signature Company Date <br />