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U 6110 Chesapeake Drive•redwood City CA 9401 U 15)364 9600 U 18939 120th Ave N E,Suite 101 -Bothell,WA 98011 • 81 9200 ^ <br /> UNAL 1 -1 8 119 Striker Ave Suite 8-Sacramento CA 95834. 916)921 9600 East 11115 Montgomery Suite B•Spokane,WA 99206-(509)924 9200- <br /> U 404 N Wigel Lane•Walnut Creek CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy Suite 110-Portland,OR 97222•(503)624 9800 <br /> Consultant CarnpanyC c Protect Name y 3 C. M t rer AvfeY►L,,-, <br /> Address t ,r� Ca�ld �vu �1 2� U UNOCAL Protect Manager Bab <br /> City „, �� o State G A Zip Cade �5-6 7C) AFF # <br /> ff c <br /> Telephone 010 (.3 l - 1 3db FAX # Cgib63l - l 3 1 7 Site #, City, State , CA <br /> Re ortTo 14Cr7—a iSampler Cb"11'�' Vke-cz <br /> v <br /> QC Data U Level D (Standard) IJ Level C IJ Level B IJ Level A <br /> ci <br /> Turnaround 10 Work Days IJ 5 Work Days ❑ 3 Work Days IJ Drinking Water lAnalyses Requested <br /> Time 1-12 Work Das IJ 1 Work Day IJ 2-8 Hours IJ Waste Water —z <br /> CODE U Misr, IJ Detect U Eval IJ Remed IJ Demol U Closure I] Other <br /> Client Date/Time Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# 7/7// Comments <br /> S-�-w Z' <br /> o <br /> co <br /> 2 V - t2 - ill 5~9-cv 1352 It <br /> ca <br /> X -ate <br /> 3 U - !2 - l l 6 s-9_� f q08 J <br /> 4 O - J - t2o. 5 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 0 <br /> O <br /> Relinquished By Date 'l l-0 Time i"QJV Received BL DateS-/l L Cl Time 101 <br /> C i <br /> Relinquished By ; �� Date S Time oe;o Received B _ Vie,L Time c � <br /> Relinquish B Date ITime Received B LabDate Time <br /> Were Samples Received in Good Condition?/1 Yes Ir No Samples on Ice? Yes i-i No Method of Shipment_ ILIL d Page y oL <br /> [Approved <br /> be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes i-J No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? U Yes 1-J No If no, what was the turnaround time? <br /> by Signature Company Date <br />