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L <br /> U680 Chesapeake pave•Redwood City,C04063•(415)364 9600 IJ 18939 120th Ave R E Suite 101 •Bothell WA 98Oi 1 •(206)481 9200 <br /> UNOCALf A 1319 Sinker Ave Suite 8•Sacramento CA 95834•(916)921 9600 J East 11115 Montgomery Suite B•Spokane WA 99206•(509)924 5200 <br /> �-1 1900 Bates Ave Suite LM•Concord CA 94520•(510)686 9600 U 15055 S W Sequoia Pkwy Surle 110•Portland OR 97222•(503)624 9800 <br /> Company Name �U� Project Name Nc"I 5 <br /> 56-3 <br /> Address I1�4Mold UNOCAL Project Manager & 5 <br /> City 9140,IC4 <br /> 62 <br /> S to LiA Zip Code 9-q,03) Release U <br /> /�.� <br /> Telephone l �Ijf(o - LFAX r Site <br /> U <br /> Report To {tib IfLf ISampler QC Data W Level D (Standard) IJ Level C IJ Level B ❑ Level A <br /> Turnaround ❑ 10 Work Days &(5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnaiyses Re tlested 0. <br /> Time IJ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours Q Waste Water A. <br /> CODE' ❑ Misc ❑ Detect d Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other <br /> Client Date/Time Matrix # of Cont Laboratory <br /> Sample``I D Sampled Desc Cont Type Sample # Comments <br /> 2 `L,,v NL,, `t,a2 co <br /> fr. t iC IL x �� o <br /> 30W 1 Ca <br /> 4 UV W- ri+,u N► t 4 -XII 9 o <br /> 5 W <br /> } <br /> $ ui �r v �� D <br /> t x <br /> << oCo g <br /> 8 <br /> 9 <br /> 10 0 <br /> r <br /> rll <br /> w <br /> 0 <br /> Relinquished By Ca <br /> Date Time Dale Time <br /> Received B <br /> _w <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By I Date TimeReceived Lab L' e <br /> Were Samples Received in Good Condition?A-Yes U No Samples on Ice? Yes U N elhod of Shipment-r-//.C/7f eeuo Page of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes U No It no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? 0 Yes U No If no, what was the turnaround time? -- -_ — <br />