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U 680 Ules,tiat-ake Unve•Redwood City C063•(415)361 0600 -1 18939 120th Ave N E Suite 101 -Bolhell WA 98 206)481 9200 <br /> LOO CA IL I D 819 Striker Ave Suite 8•Sacramento 5834•(916)921 9600 J East 11115 Montgomery Suite 8-Spokane WA 99(509)924-9200 <br /> Q 1900 Sates Ave Suite LM-Concord CA 94520•(510)686 9600 'J 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9800 <br /> Company Name �—v a� Project Name ? ��, <br /> i r <br /> Address '� c UNOCAL Pro ect Mana er t <br /> City rcU,, 3 State C7') Zip Code Release It <br /> Telephone 0 5 FAX 1f Site li <br /> G <br /> Re ori To Sam ler - QC Data ID Level D (St,tnd ird) ❑ Level C Q Level B ❑ Level A <br /> Turnaround -� 10 Work Days J 5 Work Days J 3 Work Days J Drinking Water JAnalyses Requested rr -7o ge.It,I <br /> Time 1:12 Work Das J 1 Work DaX J 2-8 Hours J Waste Water <br /> CODE J Mlsc J Detect J Eva) J Remed J Demol IJ Closure J Other r,'rJ��P✓ �'� <br /> 10 Client Dale/Time Matrix it of Cont Laboratory ; P 11"fi',1�i <br /> Sample I D Sampled Desc Cant Type Sample It ( ��{.{`' frl tt Comments <br /> 2 ` ` <br /> � A <br /> 3 <br /> J <br /> 47aL/- J.F <br /> i i � _o <br /> 5 <br /> :5 <br /> 6 <br /> 7 o - <br /> i <br /> S _ SS <br /> Relinquished By Date 7 Time 14/1() Received By Pate 1'-116 Time <br /> Relinquished By Date Received B Date Time t <br /> Relin wished 8 Date Time Received By Lab Date Lk l`t7 Time S� <br /> Were Samples Received in Good Condition? CJ Yes Cl No Samples on Ice? F-J Yes G 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? ❑Yes 0 No If no what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? i-i Yes i-J No If no, what was the turnaround time? <br /> Approved by _ Signature Company Date <br />