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� �L • sem- 'amuui 94U 5)jAM0 939 Ave _ <br /> 819 Striker Ave,Suite 8•Sacramento CA 9583 16)921 9600 p East 11115 Montgomery,Suite", WA 98011•(2 .8200 <br /> U 404 N Wigei Lane•Walnut Creek,CA 94598. 510 988 9600 e B•Spokane,WA 99206+(509)924 9200 <br /> ( } U 15055 5 W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624 9800 <br /> Consultant Company � <br /> P PE Protect Name <br /> 311 -ddress I 7V <br /> A <br /> r,t-,e f UNOCAL Project Manager In� <br /> City p e State C-14ZIP # <br /> Zip code Uo v e <br /> 9syi <br /> Telephone QFAX # <br /> . Site#, City, State # 7 � MFJL <br /> mRe ort To�ess � Sam ler U��' n err,ltCa QC Data r Level D (Standard) ❑ Leve! C ❑ Leve <br /> Turnaround ❑ t0 Work Days ❑ 5 Work Days ❑ 3 Work Days <br /> re ,�t�a/2 Work Das ❑ 1 Work Da ❑ 2 8 Hours ❑ Drinking Water Ana! ses Re uested �r� 0- <br /> ❑ aste Water ` FE. ❑ Misc ❑ Detect Eval ❑ Remed ❑ Dernol ❑ Closure Wl Other <br /> Client Date/Ti <br /> me Matrix #of Cont Laboratory NX <br /> Sample I D Sampled Desc Cont Type Sample# <br /> p Comments <br /> 13 L4 3 ca <br /> 4 CU <br /> 5 0 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> a <br /> cu <br /> Relinquished By , Date ,z f Time _ <br /> Received.By + =Date <br /> „ Time f -CURelinquished By /''1� Date � Tlme � !� ReceivedB . Time <br /> Rehn ulshed B - - - ate TimeReceived B Lab '1 <br /> were Samples Received in Good Condition?❑ Yes❑ Na Time (6 1S <br /> Samples on Ice? ❑ Yes f, No Method of Shipment <br /> e completed upon receipt of report Page—of <br />'E Were the analyses requested on the Chain of Custody reported? 0 Yes❑ No If no, what analyses are still needed? <br /> was the report issued within the requested turnaround time? ❑Yes Q No if no, what was the turnaround time? <br /> Signature ------Company Date <br /> i <br /> I E <br />