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M M M <br /> U 680 Chesapeake Drive•Redwood City*4063•(415)364 9600 U 18939 1201h Ave N E Suite 101 •Bothell WAr1 -(206)4M8I9200 <br /> UNOCAL + U 819 Striker Ave,Suite 8•Sacramento CA 95834•(916)921-9600 U East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924 9200 <br /> 0 1900 Bales Ave,Suite LM•Concord CA 94520•(510)686 9600 U 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9800 <br /> Company Name e,4Q- o aL FUNOCAL <br /> me #S g$6 <br /> Address �` o C �� p� Project Manager �ai�o gjCity `p .t �. State zip Code IJ620 <br /> Telephone 63 $-;2L-)/8-2r FAX t# J$-838,C Site 11 <br /> Report To ISampler QC Data evel D (siandard) ❑ Level C Level B Level A <br /> Turnaround 10 Work Days Work Days ❑ 3 Work Days 1] Drinking Water [Analyses Request-e-51 <br /> Time. 2 Work Das Q 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE IJ Mlsc >Oelect G Eval 1] Remed L1 Demol U Closure U Other <br /> Client Date/Time Matrix H of Cont LaboratoryA <br /> Sample I D Sampled Desc Cont Type Sample # /� �, Comments <br /> 110 sor/ r F-44- �r <br /> 2 CP1 -SW <br /> 4Cp - L4/L4, .).s" k C' <br /> 5CF —5w <br /> /130 7'7 �Fo` <br /> 6CP'2_ f P <br /> 7 Cp.2_S <br /> -2 s f or h k 62c,9)_4 9-0 <br /> 9 O-P;L—4/L- _ 2 %.Y,? J <br /> I0CIP)—N1n/ 3 ao rc1d lS <br /> Relln(tutshed By Date l-2-. I ime S,'lc7 Received By Date Time <br /> Relinquisher)By Dale Time Received By Date Time <br /> Relin msherl B Dale Time Received By La 0C ales Time T\C) <br /> Were Samples Received in Good Candilion'AYes L1 No Samples on Ice? 1XYes U No Method of Sh ment1 l 1 ] Page _�_of _L <br /> To be completed upon receipt of report <br /> I) Wei e the analyses requested on the Chain of Custody reported? U Yes p No If no, what analyses are still needed? -- - - - -- -- <br /> 2) W,js Ilia repoil issued within the requested turnaround time? Cl Yes IA No It no, what was the turnaround Bine? - <br /> Aiji)r()vE-ji Joso Strinatnre Company Date <br />