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J 886 Jarvis Drtvn a Morgan Hill,CA 95037-(406)77�9SW■PAX(409 782.8308 D18939 120th Ave.,N.E.Stills 101•13o1holi,WA 98011 @(206)461-8200 <br /> UNO*kL ]810 Stftr Ave.,Shite 8•Saerarnento•CA 95834-(916)921 0 East 11115 klonIpmery.Suite B•Spokane,WA 99206•(309 <br /> ]004 N.1Ygat Lane-Walnut Creek,CA 94598•(925)OW9600 015035 S.W.Segura Pkwy,Suite 110+Portland,OR 97222-(53R64-0800 <br /> ]M55 McDowell Blvd.North,Suite D-Petaluma,CA 04954■(701)792.1865 GL08AL 10 T0607700539 <br /> r <br /> ` Consultant Company: Getl:ler- an Yl1e. Project Name: Former Unocal 40187 _ - <br /> 1 Address; UNOCAL Project Manager(required): Nick Nickerson 916-714--3205 <br /> Cily. Dublin. State. CA Zip Code: 945b8 AFS#: <br /> j Telephone: 925-551-7555 FAX#: 925•-5511-7899 bite#,City, State:0II_ 187,...437 East: Miner Avenue Stockton CA T <br /> Report To: De.1fl;la L. Harding.. . Sampler: Zri,,,r gemda QC Data: l svel D(slaeclard) Q Level C ❑Level B C1Level A <br /> t3 j <br /> Ro <br /> Turnaround U 10 Worts Days V 5 Work Days D 3 Work Days O Analyses uested DrinkinS Water Y q h. <br /> Time: U 2 Work lays ❑i Wolk Day D 2-8 Hours ❑Waste Water v <br /> CODE: ❑Misc. U Detect. ❑FY81. O Reined. D Demol, t] Closure U Other <br /> Cliont Date/Time Matrix #of Cont. Laboratory f '� C Comments <br /> Sample I.D. Sampled Dews. Cent. Type Sample N ' iJ <br /> � r <br /> ..I <br /> 107 s 09y's by s240• � � <br /> 3. " ) '� '�Otis �_ TAME ' c� <br /> 4. <br /> 1,3 <br /> atio <br /> -Ile ! 0 -- wL -- <br /> 3 Yr • �2 a f <br /> 194+3} a <br /> to. V ` <br /> elf <br />� <br /> q y- �3 A> Time: tx>`Relln ulsherf B • Date. �� Received By: ' �� Date: ';Pjf Time; ' <br /> Rellnquished By: Dater*0�3 Time,/3!j Received ByAL: Date:is >� p Time: <br /> Relinqulshed By: .., q Dated4 7i —:I ;1 �p Received y: !� D2tle z Time: J <br /> Were Samples Receiue I in G Can itiany Q es t bJL � 3ar los on Ice? u Yvs U No Mathei pm n ` - Page 2.of-1 <br /> To be completed upon receipt of reporl: <br /> 1)Were the analyses requested on the Chain of Custody reported? ayes Q No If no,what analyses are still needed? <br /> 2)Was the report Issued wllltln the requested turnaround time? Q Yes A No 11 no,what was the turnaround time? <br /> Approved by. _ L - . Signature _ '__.__ C,mparty:__G HiQ IE.�.• _-__._ . .Date: /�03 <br />