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• U 680 Chesapeake Drive•Redwood Cil, 4063•(415)364 9600 U 18939 120th Ave N E Suile 101 •Bothell WA it, •(206)481 9200 <br /> UNOCAL <br /> + P(819 Striker Ave Suite 8•Sacramento CA 95834•(916)921 9600 U East 11115 Montgomery Suite B•Spokane WA 99206•(509)924 9200 <br /> v .J 1900 Bates Ave Suile LM•Concord CA 94520•(510)686 9600 t-i 15055 S W Sequoia Pkwy Suite 110•Portland OR 97222•(503)624 9800 <br /> Company Name f CO Project Name U mo <br /> t , <br /> Address (o� �c �7 ,— 4 0 UNOCAL Project Manager <br /> City , �� Staten Zip Code Release # <br /> J ll c <br /> Telephone /'716) i-2C FAX G Site <br /> Re ort To �Sampler -3(kk, OC Data hQ Level D (Standard) IJ Level C IJ Level B Level A <br /> c <br /> Turnaround IJ 10 Work Days J�J 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Requested d <br /> Time IJ 2 Work Das IJ i Work Day IJ 2-8 Hours fJ wastewater <br /> CODE IJ Misc IJ Detect XlEval IJ Remed ❑ Demol F-) Closure L] Other <br /> Client Date/Time Matrix # of CantLaboratory ,�� �(A- <br /> Sample 1 D Sampled Desc Cant Type Sample # Comments <br /> 2 I <br /> 0 <br /> 31Ca <br /> �C <br /> a <br /> 5 -17 113 <br /> ' to— fit,, 115a -x k <br /> 9 A1►tr /Z/G X <br /> 0 <br /> 0 <br /> Relinquished By Date ,7- j Time 633 Received By Date Time J <br /> m <br /> Relinquished By Date Time Received By <br /> ' Date Time <br /> Relinquished By Date Time Received By La ' ' jC 'Ee 1U/ /��Time } 3d <br /> Were Samples Received in Good Condition?,OrVes IJ No Samples on Ices -Fes u N Method of Shipment,��h '1l 1!1/ ""/,/ Page#_ of , <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? 1J Yes lJ No If no, what analyses are still needed' <br /> 2N Was the report Issued within the requested turnaround time? L]Yes U No If no, what was the turnaround time? _ __ <br />