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U C n � + U B18 Skrlker Ave, Sulle 6•Sacramento 5834 •{916)921 9600 U Easl 1 1115 Montgomery, Suite B•Spokane <br /> O6•{509)924 P200 <br /> H U 1900 Bales Ave, Sulle I-M•Concord,CA 94520•(510)686 9600 U 15055 S W Sequoia Pkwy,Sulle 110•Portland OR 97222•(503)624 98 <br /> Company Name U'l- Project Name - ay cYt <br /> Address UNOCAL Project Manager <br /> City A,aJ,� �� tale Zip Code Release it <br /> f elegy hone�21 63-8- 2 0 S FAX # Site 11 5-9 86 <br /> Report To •- C- LamQCler Data evel D {Slanda(d) U Level C 1.3 Level B Q Level A <br /> Turnaround U 10 Work Days 0 5 Work Days Q 3 Work Days ❑ Drinking Water JAnalyses Requested <br /> Time U 2 Work Das l._1 1 Work Day U 2-8 Hours C1 Waste Water <br /> CODE. ❑ Misc ;&Detect ❑ Eval ❑ Remed `1 Dernol I] Closure Q Other s <br /> Client Daterrime Matrix H of Cont Laboratory <br /> SampleZ I D Sampled Desc Cont Type Sample Comments <br /> 45 I a'q,5 S o f I 1 6011111-1X- A <br /> 2� r-- �D 55 1.J-1 f• n o <br /> 4 - Ll-`-1 II 'Io It-10t <br /> 5 -S- z1 5 _ II, zD <br /> 7 _ y IdGA <br /> 9 I�- ` I 2 ' 12 Iy0 <br /> Relinquished By TL, Dale Time C►+u4 V-7 g.mReceived B DateZ22-If Time <br /> Relinquished ByDate?z 7 `J Time V10 Received By Date rime <br /> L ' /�7 <br /> Tlrne iJ <br /> Relinquished B Date Time Received B iY' .^lr�r`�1 Date 1-2 <br /> Were Samples Received in Good Condition? Yes U No Samples on Ice?Ayes V 4/a0thod o(St�ipmenl Lc�t'�"C l!Vl�C� Page / of <br /> To be completed upon receipt of report <br /> 1) Wele 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 lime? U Yes t_] No If no, what was the turnaround time? ------ - - -- - --____ <br /> Arinrovotl till ginn'itllrp ('ninn-tn,y <br />