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Q 680 Chasupeaks Drne•Fted VOW City,CA 94063•(415)364-9600 ❑ 18939120th Ave,N E.Suite 101•Bothell,WA 98011•(2061481-8200 ' <br /> UNOCAL4D <br /> 9(819 Striker Ave,Suite 8•Sacramento,CA 95834+(9f 6)921-9600 D East 11115 Montgomery,Suite B►Spokane,WA 99206•(509)624-92M <br /> ❑ 1900 Bates Ave.Sate LM•Concord,CA 94520•(610)886-9600 Q 16055 S W Sequoia Pfwyr,Sults 110•Portland,Orl 97222 v(503)624.9800 <br /> to <br /> Q1 Company Name Project Nam", 8��0 <br /> m <br /> rnAddress r i` � UNOCAL Project Manager <br /> o City State. Zip Coda4?6-&'JJ6 Reisase# <br /> 1= <br /> Tele hone -j- FAX# (o .Q,2L2 S Site4fitkghEli UCQ al.tv A4 <br /> U <br /> Report To, L Sam ler. ��,�,W��; ?e� QC Data Level]) staruiar ❑ Level C ❑Level B ❑ Level A c <br /> m <br /> Turnaround ❑ 10 Work Da _ aO Drinking Water JAnallyses Requested o' <br /> Time. 1:12 Work Day a 2-8 Hours p Waste Water <br /> CODE: 0 Mise U Detect va Remed Demol Q Closure a Other <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D Sampled Dose Cont Type Sample# Comments <br /> 1 rr 10112-A ?- x <br /> r � <br /> 2 <br /> U) 3 DA .�2 <br /> -- -- - oE:� — >e - - —_ — <br /> C 4 1-6# <br /> 5 � 211215 JK— A <br /> 6 -G 2 <br /> a 7S -6 z n x <br /> 1asP2� 2- rAw I130x x K <br /> m o <br /> N <br /> Relinquished q By Date Time Received By- Dale Tune , <br /> m as <br /> Relinquished By Dale. Time Received By. Date Time <br /> eiln uished By Date T e eceiv B ate me <br /> Were Samples Received in Good Condlf}on7)kYes O No Samples on Ice?)&Yes a No Method of Sh ment. ' Page L of L <br /> To be completed upon receipt of report: <br /> 13 Were the analyses requested on the Chain of Custody reported? D Yes a No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes O No If no,what was the turnaround time? <br /> Approved bySign a pamRa <br /> Date. <br />