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IJ b80 C Iiebape,ake()nve•IJe(lwuod V 94063•(4 15)3b4 9b00 U 16939 t201h Ave N E Style 101 •1301hell W 1 1 •(206)481 9200 <br /> YN0C <br /> /� IA 019 Sinker Ave Suue a•Sacramento CA 95834 •(916)921 9600 1J East 11115 Montgomery Stute 6•Spokane WA 99206•(509)924 9200 <br /> H I <br /> 1-1 1900 Bales Ave,Suile LM•Concord CA 94520•(510)686 9600 1a 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)621 9000 <br /> Company Name LU,N Protect Nameq, 6111 _2�D az- <br /> Address �/b q � jd UNOCAL Project Manager <br /> city a-'&�o F—,��� Stale Zip Code S6 ?d 1 Release II <br /> I elephone l`6) 63-F- 2p FAX 11 Site 11 '5-8 86 <br /> Re )oil fo --'C ]Sameler QC Data evel D(Standard) U Levet C Level B U Level A <br /> Turnaround IJ 10 Work Days 1J 5 Work Days ❑ 3 Work Days U Drinking Water Analyses Requested <br /> Time IJ 2 Woik Das I-A 1 Work Day IJ 2-8 1 tours U Wasle Water 1S <br /> CODE IJ M1s( Detect IJ Fval U Remed IJ Demo] IA Closure 1A Other <br /> Client Dateffime Matrix N of ContQ r <br /> Laboratoryr <br /> Sample 1 1) Sampled Desc Cont type Sample 11 g7 "o Commenis <br /> 4 j - I� L- — 11 .1c) <br /> - _ r o I` 03 X � D r�a <br /> 12 '00 — — �t ———— .2 r <br /> s _ 2 _ LI 2 12 ILIO _ <br /> 10 — `-I ? l 7 -L <br /> �, L <br /> Helinrluished By Dale � Time Qluo&n Received B Dale <br /> Ile1111(pushed lay flats?k - Time Deceived B Date Time <br /> II[ielulr ulsfled By Date 7line Received B L / ' c �_"l�fi�, Date Time <br /> Wei e Samples Received in Good Condition?IVYes 1J No Samples on Ice? Yes IJ N�Zklelhod of Shipment-L:1dr'll L'/,( / Page / of=' <br /> To he completed upon receipt of report <br /> 1) Were the analyses requested on Ilse Chain Of Custody reported) U Yes IJ No If no, what analyses are still needed? <br /> 2) W,1s lite ret)oil issued witllril the rectuested turnaround lune? IJ Yes 1J No If no, what was [lie turnaround tin le? <br />