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❑ 660 Chesapeake Drive•Redwood City,CA 94063 )364-9600 ❑ 18939120th Ave,N E,Suite 101 •Sothell,WA 98011 •(�.9200 <br /> U O A L • C1819 Stoker Ave,Susie 8•Sacramento,CA 9.1 • 6)921-9800 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)9249200 <br /> ❑ 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 ❑ 15055 S W Sequoia Pkwy,&As 110•Pentland,OR 97222•(503)624.OSM <br /> Consultant Company ' > 2 >iS Project Namet�►sr <br /> Address 6 `f�- it �r -C---'r aT UNOCAL Project Manager Ht-, i � �'j <br /> City At A le State Zip Code �S� AFB#• <br /> V <br /> Tele hon 9Z &V-1— re's" FAX# r)51-�- Site#,City,State: Y32 E' t AIe'94) <br /> ReportTobLl3rtoi4 1. HgLZ <br /> .Qpkam ler OC Data Level D Standard ❑ Levu C Level B ❑ Level A a <br /> Tumaround ❑ i0 Work Days 5 Work Days ❑ 3 Work Days ❑ Drinking Water Analyses Requested <br /> Time: ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours Waste Water �` O <br /> CODE: ❑ Misc. ❑ Detect ❑ Bval ❑ Remed ❑ Demol ❑ Closure Other <br /> Client Date�me Matrix #of Cont Laboratory Comments <br /> 8. ample I D Sampled Desc Cont Type Sample# <br /> 2 <br /> �+ -r- - <br /> 3 t 001f- � •,- <br /> 4_Q <br /> .a � � ,� S •� �01 m <br /> } <br /> 5 <br /> \, s P 4 <br /> . 7 U, I{ D z/ <br /> `- <br /> 19 <br /> r � � <br /> 10 11 .. f �. ..• <br /> Received B . Of <br /> Date. li Z1 me: f <br /> Relinquished By � <br /> m <br /> Relinquished By. Date Time: Received By: Date: Time: 3 <br /> R lin ish d B : t Ttml I Dat m <br /> Were Samples Received in Good Condition?0 Yes❑No Samples on Ice? ❑Yes❑No Method of Shipment._ Page_.of_ <br /> To be comp a upon receipt ol report. <br /> 1) Were the analyses requested on the Chain of Custody reported? 0 Yes O No If no,what analyses are still needed? <br /> 2) Was the report Issued within the requested turnaround time? 0 Yes 0 No If no,what was the turnaround time? <br /> Approved by Signature Company Date: <br />