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le""nvr iv L- . Uii(- W I •UQ1IIeN VM U601 1 •(106)481 9200 <br /> UNOCAL -1 819 Sinker Ave Suite 8•Sacramento CA 95834•(916)921 9600 J f=ast 11115 Montgomery Suite B•Spokane WA 99206•(50a1 q24 9200 <br /> I <br /> J 404 N Wiget Lane•Walnut Creek,CA 94598-(51 39600 J 15055 5 W Sequoia Pkwy Suite 110•Portland OR 97222•(5 24 9800 <br /> Consultant Company /I ' Project Name L' 7 Q-;� o <br /> Address 2 y'[ S�q c� ,�� C/ 2 U UNOCAL Project Manager J.? <br /> City C0 State Cir Zip Code l AFE # <br /> Telephone (S-/L ) 6e 2 S-/e7c, FAX # (AS`Iv t�_ /`1/6' Site #, City, State &v)g� -f Tv e.17"Dn <br /> / U <br /> tin ort TO Ale' 'c?F Jr - JSarnpler t��AY,55 Tr, -7 QC Data 1J Level DSrandard U Level C J Level B I. <br /> ( 1 J Levet A <br /> Turnaround )� 10 Work Days 'J 5 Work Days J 3 Work Days <br /> J Drinking Water Anal yes Requested a <br /> CODE <br /> Time J 2 Work Das `J 1 Work Da IJ 2-8 Hours <br /> Waste Water <br /> J Mlsc J Detect 'J Eval lJ Renied J Demol IJ Closure IJ Other ` <br /> i <br /> Client Dale/Timr, I Matrix !t of Cont Laboratory (6 <br /> Sample I D Sampled Desc Cont Type Sample ## <br /> / Comments <br /> A^�J > „ �'i2 ►ry O <br /> J <br /> r <br /> c7 <br /> x/1 71 <br /> ISS <br /> d <br /> I � <br /> Rplmqui5hpd By t Date /v 6 Time 1 tl0 f)" Received B RY� #eb'- <br /> Dae 15/0 J <br /> Rrllnquished By Date jam'/r Time U Received B <br /> �— Da <br /> Relin urshed By <br /> Time Received B Lab DaS` <br /> i""re Samples Received in Good Condition^, Yes J No Samplers on Ice?/� Yes U No Methodof Shipment__ Pae of <br /> 1 n he completed upon receipt of report \\ 9 <br /> t) Were the analyses requested on the Chain of Custody reported? 'J Yes,J No If no what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? J Yes{J No If no, what was the turnaround time? <br /> Approved t,y Signature Company <br /> Date <br />