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MIR 68 •l�edwooclC 940b 15)36 Oo 16939 h AveSul •l3Ulh 1! •(206) 200 <br /> 0 U 019 Sinker Ave Suite 6•Sacrament CA 95634 .191 b)921 9600 U East 1 1 115 Wnl[�omery Suite r3•Spokane W 9206•(509)924 9200 <br /> CAL L <br /> U 1900 Bales Ave , Sutle LM•Concord CA 94520.(510)686 9600 U 15055 S W Sequoia Pkwy Slllie 110•Portland OR 97222•(503)624 9800 <br /> Company Name `- rv�s> � L � Project Narne — a� <br /> C1121,1 <br /> Address ��b q / C12 �b UNOCAL Project Manager f <br /> sale Zip Code ,5 �� Release t1 <br /> l etephnne�`}!6 6 3 S 2 0 $r FAX 11 Site 11 Ss 86 <br /> He port lo c, hamler QC Data evel D (Standard) IJ Level C J Level B U Level A <br /> TUrnaroltn[i IJ M Woik Days U 5 Work Days ❑ 3 Work Days IJ Drinking Water [Analyses Re uested <br /> Time 1_1 2 Work Das IJ 1 Work Da 1J 2-13 Hours ::1 I] Waste Water 1S <br /> CODE IJ Misc, Delecl 1J Fval IJ Remed IJ Demol IJ Closrire IJ Other ,� S <br /> Client Date/Time Matrix N of Cont Laboratory <br /> Sample l D Sat npled Desc Cont Type Sample 11 Comments <br /> ' -T s'J t �- <br /> 4 i -LI 11 o <br /> -S y 5 11 2D <br /> _ _ r <br /> 0 <br /> I — L` 12 '0D — <br /> !3L�_-� 3 S 17 '05 <br /> A OZ <br /> Relinctiiished By DateTime t��+uu� Received B Dale 22,f Time <br /> Retinrlin,-diecl By Date? L7 5 Tnne 171 v Received By Dale Time <br /> 1ielilu irl shed 13Y Dale Time 1 Received B a .? r rlrr�� Date 7 2/b ITime l <br /> Were: Simples Heceive(i in Good Condilion'` Yes U No Samptes on Ice9AYes U N� ethod of Shipment t�'LLCt f`_� l���GC� Page / of -�2 <br /> To be completed upon receipt of report <br /> 1) Wert: the analyses requested on the Chain of Custody reported? IJ Yes U No If no, what analyses are still needed? - - - — <br /> 2) Was 1110 repots Issued within the requested turnaround time? U Yes U No II no, what was the turnaround time? j <br /> n,,,,r l,, rt h„ ginnntillr E mm�iii+ 11 ,tr <br />