Laserfiche WebLink
' O 680 Chesapeake Drive•Redwood City,CA 94063•(650)364-9600 ❑18939 120th Ave,N E Suite 101 •Bothell,WA 98011 •(206)481-9200 <br /> UNOCAL <br /> ❑819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-9600 � O East 11115 Montgomery;Suite B'•Spokane,WA 99206•(509)924-9200 <br /> E <br /> 0 404 N Wiget Lane•Walnut Creek,CA 94598 (925)988-9600 ❑15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> 0 1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 <br /> r ]E <br /> Consultant Company G-92#w zea V,S— Project Name Q,r <br /> Address' UNOCAL Project Manager A4,, <br /> City cab�c,� State C� , Zip Code I Y iS-6 AFE # <br /> Telephon 9 .�gs-jS—S—�- FAX # 1- 'l Imo$ Site #, City, State �, E� f X ca, <br /> Report To �j Sampler T �� +�I CC{Data Level D (Standard) ❑ Level C ❑ Level B © Level A, <br /> It QLAn Y <br /> Turnaround 10 Work Days ti 5 Work Days ❑3 Work Days ❑ Drinking Water Analyses Requested c <br /> Time {a 2 Work Days 0 1 Work Day C12-8 Hours - f a <br /> Waste Water ,� D _ <br /> CODE: O Misc ❑Detect ❑ Eval 0 Remed ❑ Demol O Closure O Other <br /> Client Date/Time Matrix # of Cont i Laboratory Comments <br /> Sample I D Sampled Desc Cont Type Sample # A _ <br /> 1 O V6 4 OX o <br /> In <br /> 2 Al1- S' 1 'of ti ``' _ o <br /> 3 <br /> -a Affi <br /> 4 1 Z--Z Z <br /> Ar <br /> Z--1146 <br /> / <br /> E <br /> 7 l <br /> r Ij 11 <br /> 8 ! !E <br /> g o <br /> 10 o <br /> E �E <br /> JJJ <br /> Relinquished Bye L I Time ��. `f Received BQ_ftW ` 1�' j TimeI'LL m <br /> • Relinquished By Date Time Received By Date Time <br /> Relinquished By Date I Time Received By Lab Date Time <br /> E <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Sa Imples�on Ice? ❑Yes ❑No Method of Shipment Page_of <br /> To be completed upon receipt of report ; I' <br /> 1)Were the analyses requested on the Chain of Custodylrepo'rted?, ❑Yes ❑ No If no, what analyses are still needed? <br /> 2) Was th port issued within the requested turnaround,time? 1,0 Yes ❑ If no, what was the turnaround time? <br /> Approved by _ _„__Signaturel� 'I Company Date <br />