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" 680 Chesapeake drive•Redwood City,CA 94063-(650)364-9600 u i8939 120th Ave,N S Suite 101 •Bothell,WA 98011 •(206)481-9200 <br /> V <br /> r e FOCAL #19 Striker Ave,Suite 8•Sacramento, CA 95834'-(9 16)9219600 ❑East 11115 Montgomery,Suite 8•Spokane,WA 99206•(509)924.9200 <br /> ❑404 N Wiget Lane•Walnut Creek,CA 94598•(925)988 9600 Q 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> ❑1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 <br /> Consultant Company G. Project Name 7 ���. C S <br /> es <br /> Address' 7 �;v. r X. ��, UNOCAL Project Manager' 1iG� s <br /> City State CA Zip Code qs6g AFE # <br /> Telephone'Ja5.53�1. 7537-5 X I C1( FAX # qZS--SSl. 7&S Site #, City, State <br /> Report Ta' ,Sampler . �Q e jyf�w� QC Data )4evel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Y <br /> Turnaround ❑ 10 Work Days )ErZ Work Days ❑ 3 Work Days ❑ Drinking Water Analyses Requested 5 <br /> Time ❑ 2 Work Days O 1 Work Day ❑2-8 Hours a <br /> ❑Waste Water <br /> CODE: ❑ Misc ❑ Detect 0 Eval XRemed ❑ Demol ❑Closure �❑Other <br /> Client Date/Time Matrix # of Cont Laborato Comments <br /> _ Sample I D Sampled Desc Cont Type Sample # <br /> 1 9P !- z Z, � d6 t-o so au- z VA 01 �C �C z <br /> 2NP— ouc I 1 fir? g <br /> 3. - � - 11 � - oq3 v312 <br /> 4 � <br /> s N - Z- ZO - rdzo X IX <br /> 6 IUP— 60 - loo x e'X <br /> • <br /> 70P- 7-- f16 +10to 06 X X <br /> 8 <br /> 9 Z' <br /> 0 <br /> 10 /ol F 0 <br /> .so <br /> co <br /> J <br /> Relinquished ByDate 7 Ol Time D$YU Received 13y fA K L �L �C� Date 1119-101 Time (A40 »� <br /> Relinquished By Date Time Received By Date Time <br /> Relini <br /> hed By Date Time Received By Lab Date Time <br /> L <br /> Were SamReceived in Good Condition2 ❑Yes O No Samples on Ice? ❑Yes ❑No Method of Shipment Page,of <br /> To be coted upon receipt of report <br /> I) the analyses requested on the Chain of Custody reported? ❑Yes ❑ No If no, what analyses are still needed? <br /> 2 he report issued within the requested turnaround time? ❑Yes ❑ No If no, what was the turnaround time? <br /> p Signature Company Date <br />