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80 Chesapeake Or -Redwood City 14063• )364 9600 U 18939 120111 Ave N E Suite 1 Bolhe!TWA e206)481 9200 <br /> U rc A L U 819 Striker Ave, Suite 8•Sacramenlo,CA 95834 •(916)921 9600 U Past 11 1 15 Montgomery Suite B-Spokane,WA 99206-(509)924 9200 <br /> U 1900 Bales Ave,Sime LM-Concord CA 94520-(510)686 9600 U 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9800 <br /> Company Namedo -1 101 Project Name <br /> Address ��� 0149 r_a_l -1 a UNOCAL Project Manager <br /> srSo <br /> City R.-Zk-, State Zip Code S6;?O Release 11 <br /> feleptlone 16 6 3&-�2 o BS FAX # S11811 S g <br /> Re ori To -�c, L Sam ler QC Data XLevel D (standa(d) IJ Level C ❑ Level B (A Level A <br /> Turnaround J 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Analyses Requested <br /> Thne U 2 Work Das 1] 1 Work Da ❑ 2-8 Hours ❑ Waste Water <br /> CODE l") Misc Detect 1-J Fval Q Remed ❑ Dernol ❑ Closure ❑ Other W <br /> Client Dalerrime Matrix # of Cont Laboratory /\Qr �Q ��� �� 1 �0\0 <br /> Sample I D Sampled Desc Cont Type Sample # LP Pb Comments <br /> - W - 1--/ -7279s 1 .2q Ag, <br /> r <br /> 2 _ `-J- LC <br /> I L1 09 <br /> 3 L <br /> 5 �-.3 S <br /> 6 c- ' L <br /> Q <br /> ST - Is x X K X �C <br /> 10 <br /> Relinquished By Dale Time Received B Dale -v? -fj Trme 04 <br /> Relin(}ttished By Dale?/-27 Time )'71P Received B <br /> l Date Time <br /> Relinquished B Date Time I Received By b� ate /� Q� Trme �I l <br /> Were Samples Received to Good Condition?4Yes U No Samples on Ice?AYes❑No thod of Shipment ��L'� r Lit fli,'i+f`rc� Pageo2of -'2 <br /> To he completed upon receipt of report <br /> i) Were ilia analyses requested on the Chain of Custody reported9 ❑Yes❑ No If no, what analyses are still needed <br /> 2) Was the report Issued within the requested turnaround time? 0 Yes 1J No If no, what was the turnaround limey - - -- - - - --- <br />