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�� 0690 ChesapeakB Ort��a•Radwoad City,CA 34863` 364 Q 1$93!3 t20lh Ave,N E Srnte iQt t3atherl,WA 98011'(208}� <br /> ❑914 Stakes Ava,Snrta 8•Sat ramenta CA195634 ((961560)).q 21 LJ East ill 15 Montgomery,Smte Be Spokane,Y/A 99200 (6 9200 <br /> v ❑484 N %tinges Lane•Warnur Creek.CA 94598-(9?5)988 9600 O 15855 S W Sequma Pkwy,Suite 1 to•Portland,OR 97222•(603)624-9804 <br /> 0 1455 McDowell Blvd North,Sudo D•Petaluma,CA 94954•V07)792-1865 G1,08Ai, I111 T0607700539 <br /> Consultant Company Gettler-it an Inc. Project Name itormar tlrocni $0187 <br /> Address 6747 Sierra Court, Suite .I UNOCAL project Manager N:.ck Nickerson - 916-714-3205 _ <br /> City Dublin Stata CA --- Zip Code. 94568 AFt= # <br /> Telephone FAX #• -- Site#,City, Slate, .� <br /> 925-551-7555_ ' 925-551-7899 #0187, A37 Rant Miner Ave. Stockton, CA <br /> Roport To: Deanna L. Hardinx I Sampler tlb9Z, ra c �, , ©C data Level D(Stawi&4 0 Level C ❑Level B ❑Level A � <br /> Turnaround 10 Work Days U 5 Work Days ❑3 Work Days ❑DfInking Water Analyses Aaquosted � <br /> Time: 2 Work Days a iWork Day O 2-8 Hours Waste Water <br /> a <br /> /� f, <br /> CGDE. D wsc ❑Detect ❑Evai U Remed U Demo1 O Ctasure ❑Other r� <br /> Chant Uateffirne Mainx 0 of Cont. Laboratory v Comments <br /> Sample I D. Samplers Dese Cont Type SampleAx I IN <br /> # <br /> I � <br /> 107�'s t}8260 <br /> 3 TeY <br /> 4. o <br /> 6 _ <br /> 7 <br /> 8 - v <br /> 10. <br /> LJ .0 <br /> Relinquished By 1 , Dateb ' Time.190 tece{ved By. 6wy Date v� TIMf ' w <br /> Relrnquished 8y Date, Time, Received By _ Date: Time. - <br /> Relirlquis'hed By pale Time Receivod By Lab Date. Timo. <br /> Wary Samples Received in Good Condition? ❑Yes U Na Sampres on lee? U Yes ZIN€1 Method of ShTpmonl_ Page—of <br /> To be completed upon receipt of rapof!- <br /> 1)Were the analyses requested on the Chain of Custody reported? Cl Yes Cl No If no,what analyses are still noodod? <br /> 2) Was the report issued within the requested turnaround time? t❑Yas ❑ No if no,what was the turnaround time? _ <br /> Approved by Slgnatur Company J �a'�' _ Date <br />