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U 6""(,IiU�a�C•rhU U{IVL'•of(J U('1[y ( OU-3-(4 I�)"'64 `IJ600 J18JJ!i 121Wi Avg. I l E_ quite. 1U I ESGinLll WtA 98'0 206)481 9200 <br /> U 819 Striker Ave Suite 8-Sacramento 05831 -(916)921 9600 -1 East 11115 Montgomery Suite B-Spokane WA 994509)924 9200 <br /> L��CAL (D <br /> U 1900 Bales Ave Suite t_M-Concord CA 94520-(510)686 9600 G 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9800 <br /> Company Name Project Name <br /> Address UNOCAL Project Manager <br /> City �`,f,�, State C2A Zip Code t: ;.�; Release 4 <br /> Telephone�i_ „� 4 _ _ =' c FAX Site # <br /> Re ort To JSaTpler /;, ;/1 c , QC Data ❑ Level D (Svindard) ❑ LPvel C ❑ Level B ❑ Level A <br /> Turnaround 10 Work Days !] 5 Work Days Q 3 Work Days ❑ Drinking Water JAnalyses Requested �1�0`^ ✓1 C- <br /> Time f-,J 2 Work Das Q 1 Work Day Q 2-8 Hours ❑ Waste Water , <br /> CODE IJ Mlsc ❑ Detect ❑ Eval U Remed Q Demol ❑ Closure IJ Other <br /> Client Date/Time Matrix P of Cont <br /> Laboratory �( t 'it�wa�rt��� <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> c <br /> rr <br /> 4 's <br /> 5 <br /> 9 <br /> - -/3 / 2 v2- <br /> -10 <br /> - <br /> t4 � <br /> 0 <br /> r <br /> Relinquished By Date r ime I Ll t[� Received B <br /> Date ( �} ime <br /> Relinquished I3yDate G�/� ime 15 Received B Date Tlme <br /> Relinquished BV Date Time Received B I <br /> Lab Date �y`t Time <br /> Were Samples Received in Good Condition?Q Yes❑ No Samples on Ice? Q Yes Q No Method of&ipment Page_of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? IJ Yes Q No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? Q Yes U No If no, what was the turnaround time? <br /> Approved by Signature Company Date <br />