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UN Q C A Lf 1-1 819 Sinker Ave Suite 8-Sacramento CA 95834-(916)921 9600 U East 111115 Montgomery Suile 0-Spokane WA 992.06 (5091 q24 9200 <br /> U 11900 Bales Ave Suite LM-Concord CA 94520•(510)686 9600 U 15055 S W Sequoia Pkwy Suile 110-f orirind On 97222•(503)624 98[x) <br /> iCompany Name ��.11� lUr�'1�� [itl{1.1�f�L C�nr� G'LI 1�V"r a Protect Name (V—K"er 0/ot-0,q( Sc k r�r�� ��r�lr7rnl <br /> Address =>' CX�' LA i}.I t)QIut , STS- i r)o UNOCAL Protect Manager <br /> cily /<�&7; fft) Stale (t/1 Zip Code '/S(o7o Release fl <br /> `- <br /> Telephone ';)09Q) FAX fSite f ,)A)OOS-(- C {iy' rM" 4-7,1/ rJ Pd x'(111 lA<<6 <br /> Re orUcm <br /> To f)I+v f 1ox/4ISampler. 1� �, ^ r� QC Data Level D(standard) U Level C lJ Level 6 IJ Level A C <br /> Turnaround U 10 Work Days U 5 Work Days ❑ 3 Work Days U Drinking Water Anal ses Requested <br /> Time IJ 2 Work Das FJ 1 Work Da 2-8 f lours U Waste Water Y <br /> CODE' U Misc U Delect U Eva[ U Remed IJ Demo] IJ Closure V Other �J <br /> Client Dale/T1me Matrix 11 01 Cont Laboratory E-7 <br /> Sample I D Sampled Desc Cont Type Sample fl U Comments <br /> Ui03 313 0 <br /> X aC ro <br /> 2 (_1 r i , ���rti 5 S �t e� 03Lj Y n <br /> or 3 <br /> I m <br /> r/ k ,� ♦r�rl `,t 'ill. Vol Sk <br /> ] r, I 691737 ,��k I•I t� kg-, <br /> ! ir' <br /> tr A <br /> e . ,, t 7 1 ,.r U'i u K X <br /> 9 Ei( 1LrI\ rlc' C"'A1 K M <br /> ry <br /> O <br /> O <br /> Relinquished By r Dale <br /> Time/f4. Received By Date time <br /> m <br /> Relinquished By Dale Time Received By Date I fine <br /> Relinquished By I Date iTime Received Bv Lab Date y j inie <br /> Were Samples Received in Good Condition?XYes la No Samples en ice? V Yes U No Method ol�hlprnenl_l f"�lj' r'r7""'t' Page 01 Z <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? i.d Yes U No It no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ij Yes U No If no,what was the turnaround tune? <br /> Approved by Signature Company tate <br />