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MOM mm = mmm mmmm = = <br /> U 6110 Chesapeake Dme-Hedwood VA 94063-(1 15)361 960711 0 U 111939 1201h Ave N E Suite 101 -BoI01 I •(206)481 9200 <br /> UNOCAL <br /> n�O C /� L � U 819 Sinker Ave Suite 8-5acrarnerrlo CA 95834 •(916)921 9600 U East 1 1 115 Montgomery Suile B-Spokane WA 99206•(509)924 A20 <br /> V „ U 1900 Bales Ave Swle l M•Concord CA 94520•(510)686 9600 U 15055 S W Sec{uoia Pkwy Suite 110•Portland OR 97222-(503)62-198()( <br /> Company Name � v pa Pro)eci Name -);�D <br /> Address �J,6 y6c4e 101 UNOCAL Project Manager <br /> City RA-ek Stale ef4Zip Code S67p Release H <br /> felephone 16 6313--2c> 6S FAX It Site N S'6 <br /> RA <br /> Re pot l To - l," iSampler QC Data kievel D(Slandard) 1"1 Level C IJ Level B Q Level A <br /> Turnaround tJ 10 Work Days (A 5 Work Days IJ 3 Work Days IJ Drinking Water Analyses Requested <br /> Time I 2 Work Das 1J 1 Work Day IJ 2 8 Hours IJ Waste Water <br /> CODE IJ Mlsc Detect (J Eva] LJ Rerned IJ Demol IJ Closure IJ Oltjer <br /> Client Da1elTime Matrix If of ConiLaboratory <br /> Sample l D Sampled Desc Cont Type Sample N \ � � �P� � PO Comments <br /> 7 <br /> T � _ r j 2195 -1 <br /> &D1�-ID a <br /> ff I-r7L✓ <br /> 3 C) <br /> it-Ilk s <br /> 6 — L — — <br /> _ a <br /> _3 Its <br /> 10 <br /> Relmgtllslied By Dale 1 IqN- Time '-(,,344 ReceivedI3 Dale �7 ff Ta»e (000 <br /> � r <br /> Relinquisf ied By �; Dale 22 �� Time )71a ReceivedBy Date ITIFne <br /> flelinr wished Oy Dale Time I Received Bv KhY, Ifirne 1 f <br /> Were Samples f3e(,eived in Good Condition?I Yes U No Samples on Ice?P—Yes U No M6thod of Shlplrlent-e lf L(I_1_ Z�o1iCef e�� Page.2�of 2 <br /> To be compleled upon receipt of report <br /> 1) Were lire analyses requested on the Chain of Custody reported? U Yes a No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround lime? U Yes IJ No If no, whal was the turnaround Iln1e? <br /> I I f , ^ n 1 <br />