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JUbU(,h'--JP1-ahe,DIM--iiUMUOU Gily C <br /> 003-(315)J6# 9900 J Mi JJ 1 cUlh Ave N L SuifE. Wl •Llolhel! ti JA 9bD 20b)481 JL00 <br /> U00C /�N 1--11--1 819 Striker Ave Suite 8•Sacramento •(916)921 9600 'J C.�.,t t t 415 Monne tgopnory Sint(,B•SpokaWA 9421 (509)924 9200 <br /> . u 1900 Bates Ave Suite LM•Concord CA 94520-(514)686 9600 GJ 15055 5 W Sequoia Pfnvy Suite 110-Portland OR 97222•(503)624 9800 <br /> Company Name Pro ect Name <br /> ���5�//^yt).i moi'-'.✓ /]! irl _ \' i i�� � 1 <br /> Address UNOCAL Project Manager J •,� { <br /> City i , ,;v State Zip Code �; Release ff <br /> c <br /> Telephone FAX Site# > <br /> c <br /> Re ort TO �;�., �'„ ,-,,� Sam ler r2 OC Data ❑ Level D (Standard) 0 Level C 'D Level B ❑ Levef A <br /> Turnaround jJ-10 Work Days ❑ 5 Work Days 1:13 Work Days ❑ Drinking Water JAnalyses Requested1�ovgtLl <br /> C a" <br /> Time FJ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours �J Waste Water , <br /> CODE U Mlsc ❑ Detect ❑ Eval ❑ Remed ❑ Demo[ ❑ Closure ❑ Other <br /> L J / <br /> Client Dale/Time Matrix # of Cont Laboratory <br /> Sample l D Sampled Desc Cont Type Sample # Ct �,_' ;' t Comments <br /> /357i; <br /> IC /� C 5 �� , o` <br /> 4 <br /> [[ / e <br /> 7 — ,ZS 5 `/ J I c <br /> 8 /— rs ; J201 <br /> 9 <br /> 10 0 <br /> o <br /> Relinquished By Datei,,�, Time (C� Received B ale"AdC4 ffirrie [} <br /> Relinquished By �" �1 Date ``J/ 7—Time r`S�� Received (Dale Time -E <br /> Relln ulshed l3Date Time Received By Lab Date 4 14111 Time 15 <br /> Were Samples Received in Good Condition?❑ Yes ID No Samples on Ice) ❑Yes O No Method f Shipment Page_of _ <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? Ci Yes❑ No If no, what analyses are still needed - <br /> 2) Was the report issued within the requested turnaround time? LJ Yes I-J No if no, what was the turnaround time? <br /> Approved by Signature Company Date <br />