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4 680 Chesapeake Drive•Redwood City,CA 940 •(415)364-9600 O 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 •(206)481-9200 <br /> ❑ 619 Striker Ave.Suite 8•Sacramento,CA 95816)921-9600 ❑ East 11115 Montgomery,Suite 8•Spokane,WA 99206••924-9200 <br /> UN AL (D <br /> ❑ 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 CI 15055 S W Sequoia Pkwy,Sude 110•Portland,OR 97222•(503)624-9800 <br /> Consultant Company ETT ._. FN l [ , Project Name FQ EA t1100CRL �} i <br /> Address �{- t r?�JjAel UNOCAL Protect Manager � Q g Q U <br /> City L�,8 U /U State C �} Zip Code �t'��p$ AFE# e <br /> Telephone t'J S� 5' FAX# 55 — Site#, City, State <br /> A� t <br /> �� am ler���TKES 1+(� QC Data Level D(Standard) ❑ Level C ❑ Level B ❑ Level A c <br /> rt To N4 a <br /> Re o f V' <br /> Turnaround K10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal ses Re nested <br /> rime- ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure Other / l <br /> Client DatefTime Matrix #of Cont Laboratory .� Comments <br /> Sample I D Sampled Desc Cont Type Sample# ``�' ?, <br /> 'TB — L6 r �cn Uk� co <br /> 0 <br /> 1cFt v <br /> 2 U 4 Q �LF <br /> J <br /> 3 Lk— t 0 t � a <br /> • 1 t/ <br /> 6 <br /> 7 u / Y <br /> 8 u r l/ <br /> o <br /> I Cd <br /> 10 <br /> co <br /> Relinquished By ate Time Received B Date Time <br /> J <br /> VW <br /> Relinquished By Date Time Received B <br /> Date Time <br /> Relin uished By Date Time Received By Lab Date Time <br /> Were Samples Received In Good Condition?Ayes❑ No Samples on Ice? Ayes U No Method of Shipment Page of_ <br /> o 151 camp ete upon receipt o report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ❑Yes❑No if no,what was the turnaround time? <br /> Approved by Signature Company Date <br />