Laserfiche WebLink
_ 680GhesapeakeDrive•Redwood City CA 94063•(415)364 9600 J 16939 120th Ave N E Suite 101 •Bothell WA 98011 •{ 481 9200 <br /> 'J 819 Striker Ave Suite 8•Sacramento CA 95816)921-9600 J East 11115 Montgomery, Suite 8•Spokane WA 99206• 9249200 <br /> UN(*AL <br /> J 404 N Wigel Lane•Walnut Creek CA 94598•(510)968 9600 U 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9800 <br /> Consultant Company �J /, �} Project Name y U "' <br /> Address 1: AD j _S 7%n rv,d ,fI',. e UNOCAL Project Manager C,-O T6 o,/ <br /> City C.o Slate C a Zip Code <br /> AFE # <br /> C <br /> Telephone(si z, ) c 2 _ -s:--1 z u FAX # CS-to) 6 S'j- /f y 9 Site #, City, State 617g/- <br /> L U <br /> Re ori To A�-r kTr -51Q '�Iq n Sampler ✓c�2T s ✓ s/ ) OC Data IJ Level D (Standard) lJ Level C CJ Level B IJ Level A <br /> c <br /> Turnaround IJ 10 Work Days IJ 5 Work Days lJ 3 Work Days IJ DrinkingWater d-- <br /> Time <br /> Ttme Anal ses Requested <br /> J 2 Work Das �J 1 Work Day IJ 2-8 Hours 0 Waste Water <br /> V <br /> CODE 'J Misc J Detect IJ Eval IJ Remed IJ Demol U Closure IJ Other <br /> Client Date/Time Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample # � Comments <br /> 1 'A11,, "j l�} 15— I VO4 U o <br /> co <br /> a <br /> 'y <br /> 'LiG+ J lei.2L, X rte, o <br /> ►'11� � t 3c7 <br /> -410-U, <br /> �c U C X <br /> in <br /> 0 <br /> co <br /> _ a <br /> Relinquished By Date.&, Time I IaReceived�'`— B - Date 1'It( Time ��ld <br /> Relinquished By Date Time 3 Received By Date _ (o Time a � <br /> Relinquished By Date 1 Time I Received By Lab Date LVItI&ITime ro <br /> Wore Samples Received in Good Condition? J Yes J No Samples on Ice? iJ Yes IJ No Method of Shipment Page,of <br /> I o be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? IJ Yes lJ No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? J Yes U No If no, what was the turnaround time? <br /> Approved by Signature Company Dale <br />