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. r, u sr aut._11ne �,riv4 h�uivuuLl L R*Uauho-(4 1")sE;q '!AAK, -i lt4mlj 14U h Ave N E Sure lief -Mth0l LN*1 - •(206)48t 9, <br /> Li%OCAL <br /> 1 U 819 Sinker Ave Suite 8 - Saer vtipnto CA 95934•(916) 921 9600 U East 11 115 Montgomery Sante B- SpoS,.ane WA 99206•(509)924 9', <br /> J 1900 WICs Ave Surto LP4•Conoord CA 94520•(510)686 9640 U 150;5 S YJ Sequoia Pkhry &,Pe 1 tU-Porilard CP (7222•(5031 C24 <br /> Company Name Project Name ^y <br /> Address 4 _ _ C UNOCAL Protect Manager <br /> - <br /> City �(1Stafe C7f; Zip Code �y 5 p 5 Release a <br /> Telephone T} ��w� _ ,� FAX ft -� .�_ i G Site <br /> Report To ,r, Sam ler JQC Data Q Level D (Slandarci) J Level C J Level B LJ Level A <br /> Turnaround 1d 10 Work Days IJ 5 Work Days Q 3 Work DaysJ Drinking Water Anal ses Requested 67 -/0Z <br /> Time-Time- U 2 Work Das U 1 Work Da J 2 8 Hours U Waste Water I t <br /> CODE: U Misc IJ Detect L] Fval LJ Remed rJ Demol IJ Closure ❑ Other <br /> L <br /> Client Date/Time Matrix Doi Cont Laboralory <br /> Sample I D Sampled Desc Cont Type Sample 9 �(� �� ' Comments <br /> ti <br /> 2 <br /> 3 S'-3 c)-HA 1 V A S /C>ys A41-S S -Z- <br /> 4 <br /> 4 - - `i h s /C) 7 <br /> 6 <br /> 7 � 18 <br /> 8 <br /> 9 <br /> to <br /> Y <br /> Relinquished ay Date ] Time 1_ J6 Received BC)Date e y <br /> Relinquished By Date G� Time l Received s Date Time <br /> Relinquished Bv Time Received By Lab Linbate Q ly Time 15,11 <br /> Were Samples Received in Good Condition9 U Yes U No Samples on ice? U Yes 'J No MethoA a!Shipment _ _ Page-- of- <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes U No It no, what analyses are still needed? <br /> 2) Was the report issued within the requested tuinaround time'7 J Yes U No If no, whet was the turnaround time'? <br /> App 0d by _ _ _ Slrinattrre <br />