Laserfiche WebLink
Ueu 'PLom L)ML I ie,(JWUUd Lily *06'1•(115)J6 t 'JUOO J W933 120[h Avg, N E Suite 101 •BothellWA 98 206) 481 9200 <br /> LOVCAL Q 819 Sinker Ave Suite 8•Sacrarnenio5834 •(916)921-9600 � East 11115 Montgomery Suite B•Spokane WA 990509)924 9200 <br /> • U 1900 Bates Ave Suite LM•Concord CA 94520•(510)686 9600 U 15055 S W Sequoia Pkvry Suite 110•Porland OR 97222•(5o3)624-9800 <br /> Company Name �y Project Name <br /> tial i �-,rN%J! �. T��-��+5 ����j <br /> Address , f �� / C-> C UNOCAL.Project Manager <br /> City J„ StateC'n Zip Code Release ,'# <br /> Telephone ��,�) g�O� FAX flc�z- i <br /> 3 SS Site 9 <br /> C <br /> Re ort To /.�; �i� %� Sam ler �. �r��e_er QC Data U Level D (51❑nd-ud) ❑ Level C Level B ❑ Levet A <br /> Turnaround �d'i0 Work Days ❑ 5 Work Days ] -CZ <br /> �� 3 Work Days <br /> ❑ Drinking Water Analyses Requested CI-4O113('1 <br /> Time Q 2 Work Das U i Work Day U 2-8 Hours U Waste Water <br /> CODE U Misc !J Detect U Eval U Remed U Demol IJ Closure U Other <br /> 1-0 Client Date/Time Matrix tt of Cont <br /> Laboratory 1-�r 4 <br /> Sample l D Sampled Desc Cont Type Sample# Comments <br /> 1 <br /> < - J'�, 7 rat r _ <br /> 4 - -17, 1 j 1 <br /> ! 0 <br /> w <br /> 9 <br /> lQ <br /> 0 <br /> Relinquished By 0 <br /> �- Date Time c. L C) Received B .. Cz <br /> DateLiz/g/ e l C d J <br /> ReltnqulshDate �Time <br /> ed By pa1e Ime 1 u) Received B 2 <br /> L. Relinquished B Date Time Received B Lab Date 7if�ct-7 �Sr{ <br /> Time <br /> Were Samples Received In Good Condition?G Yes CI No Samples on Ice? U Yes U No Methoili of Shipment Pae_of <br /> 9 <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes Q No if no, what analyses are still needed? <br /> 2) Was the report Issued within the requested turnaround time? U Yes❑ No if no, what was the turnaround time? <br /> Approved by -_ _ -- _-- — Signature _ _ �_- - -Company _ _ <br /> - _ bate <br />