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❑ 6lio Chesapeake dove•Redwu'd city,CR 94053,(415)364 96DQ 18939 120th Ave,N E,Su rte 101 •Bothell,WA 98011 -(206)461-92W <br /> UN <br /> L (D O 819 Striker Ave ,Sane a•Sacramento CA 9 (916)921-9600 7 East 11115 Manigomery,Suite B•Spokane,WA 90206•*( 6� <br /> .-9200 , <br /> Q 1900 Bates Ave,Suite LM■Goncard,CA 94520• 10)686-9600 ;a 15Q55 5 V Segaora Pkwy,Serie 110•Porttand,dR 97222• 4-9300 <br /> Gornpany Name �y Project Name <br /> Address UNOCAL Project Manager <br /> City 'qt4 `,,r dtVq /Stag } Zip Cade <br /> �{ iRelease# <br /> Telephone 31—I3c FAX# -63 131/7 7 Site t3 ` 707 4cJ lC, 1Z1 1.t?G`7 <br /> /� /�~� 11 U <br /> Re ort To 5r C lie- -- Sam ler /C.rQC Data 4<evel D(Standard) ❑ Level C ❑ Levet B ❑ Level A c <br /> Turnaround 4Work Days ❑ 5 Wont Days :13 Work Days ❑ Drinking Water Ana ses Re uesed a <br /> Time. ❑2 Work Days ❑ 1 Mork Da 'J- 2-8 Hours U Waste Wafer / <br /> CODE: :1 Misc,❑ Detect ZI Eva] ❑ Remed- �) Demoi :1 Closure 'Other 0 L# <br /> Client Date/Time Matnx 4 of Cont. Laboratory <br /> Sample i Q Sampled Desc Coni TypeSample# 11\ Comments <br /> 1Z-517 <br /> 2. ts1 — 1 1 <br /> 3.Y10--3 3 w <br /> J <br /> 4. <br /> 0 <br /> � � m <br /> B AI-'7 <br /> 7 <br /> 9 <br /> p <br /> Relinquished By Date -f7 Tim Received B Date + `j irne <br /> 11 coo <br /> Relinquished By. + bate `j Time ReceFved B a e 3 <br /> - Relln uished B _ a e ITime lReceived a Lab'." DateL,-� ITime <br /> T, <br /> � <br /> Were Samples Received lrt Good Condition?O Yes O No Samples on Ice? 7 Yes a No ?Vlelhod of Shipment_laf _ page of_ <br /> To be completed upon receipt of report <br /> v 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑ No If no, what analyses are still needetf? <br /> ZZI2) Was the report issued within the requested turnaround time? G Yes Q No if no,what was the turnaround tirne'? — <br /> Approved by Signature —Company- Date <br />