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U680 Chesapeake Dave•Redwood City GA 940 15)364 9600 U 18939 120th Ave N E Suite 101 •Bothell WA 98011 • 81 9200 <br /> U 819 Sulker Ave,Suite B•Sacramento,CA 958316)921 9600 U East 11115 Montgomery,Suite B•Spokane WA 99206•( 9249200 <br /> UN AL (D <br /> U 404 N Wiget Lane•Walnut Creek CA 94598•(510)988 9600 1J 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)624 9800 <br /> Consul lant Company _ R �L Project Name q37 i7 � <br /> t � <br /> a-� <br /> IAddress 310 UoIJ ,,� 5ut e— 2A6 UNOCAL Project Manager 13,,,6 <br /> Crty o �r ov0. State CA Zip Code Cf56-7a AFE # <br /> c <br /> a 18� S <br /> Telephone 9 l6 63 I - r3o(a FAX # (�i tG,}` 6 31 - L31-7 Site #, City, State is Jr- on C U <br /> Re ori To Da-1 t3� kampler Dvt& Ncr X Data ❑ Level D(Standard) 1J Level C 1.1 revel B ❑ Level A <br /> Turnaround '11410 Work Days U 5 Work Days ❑ 3 Work Days IJ Drinking Water JAnalyses Requested rZ <br /> Time 1-12 Work Das U 1 Work Day FJ 2-8 Hours IJ Waste Water <br /> CODE IJ Misc ❑ Detect U Eval IJ Remed IJ Demol U Closure IJ Other <br /> Client Date/Time Matrix #of Cont Laboratory �� 9 <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> _ <br /> - 'i j -ao <br /> 5-�- co <br /> 2 0 - f2 -- ( 1D q7 I <br /> 3 U-t2 - ISS S-q-ao og5'6 <br /> 3t Boa i <br /> -C� <br /> 7 U- f2. - 3S 5 S-9-as/ore ( X )-7 <br /> 8 U- 12 - j S-9-00/to t l U& <br /> s R-rte a <br /> 9 022 ( � <br /> 10 U- a- 64. S s�`0' cv3D <br /> o <br /> Relinquished By Date S' II 4'b Time Received By Date Time ,J�o U 71 <br /> Relinquished By i l,� <br /> Date S-/ -U�, Timei(acl Received e Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? i Yes U No Samples on Ice? Yes U No Method of Shipment_- t' r'���r1 Page L of <br /> -Vo be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes U No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? U Yes Lt No If no, what was the turnaround times <br /> Approved by Signature _ _ Company __ _ _ ____ ____ Date __ _ <br />