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U bqUypesapeaKeUNVe•h8UW00Ci RY,UA 404UbD•(4ib)Jb4-ybUU a iaaoa JeUllIMVU,IYC,QU11.0 I -PVuX0,1,fin QWV,I k&VVI�V6 o <br /> I <br /> L) 819 Strlk&Ave,Suite 8•Sacramento,CA 95 (916)921-9600 U East 11115 Montgomery,Suite 6•Spokane,WA 99206• 9249200 <br /> U 1900 Bates Ave,Suite LM•Concord,CA 94520 10)686-9600 'e U 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222• 624-9800 <br /> COL, <br /> am r trey; "Mel Project Prosect Name <br /> r me-,, Un O t:C;J <br /> tess 1 f< �I , y ' t , ' ' ' UNOCAL Protec Manager r.l <br /> ',111 t c Mate [ Zip Code Release# <br /> f'eEi3�h I[teli� f�l�l' rl+ <br /> x- "1 -, ���S ' FAX# jg x S� s�/l` q Site# 3 i f c i <br /> lii1� II I Illo If '€I,I 'I Ii �''i4-�,r�t'r Sam ler !l1t �x.� QC Data p� vel D standard) ❑ Level C ❑ Levei B ❑ Level A = <br /> Re It To'S �k„�,,.� <br /> iZ <br /> Tur�I'6 ou id ❑ 10 Work Days ark Daa- ❑ 3 Work Days ❑ Drinking Water Analyses Requested <br /> TiIml II l� CJ 2 Work'Da s ❑ 1 Work Dax ❑ 2-8 Hours IA Waste Water4 o a `t <br /> A_ �� • '�' <br /> , � <br /> h oCQbo:'i❑` isc" ❑Detect ❑ Eval ❑ Remed ❑ Demol U Closure ❑ Other H • � <br /> Matrix #of Cont Date/Time � 4 <br /> yea � � y�., ta�Q ,�o � �� .M , <br /> ample I D Sampled ,Desc Cont Type Sample# f�` o Comments v <br /> 1, Ifl <br /> IT, <br /> r I 'ti q, L) f V 9020651 ' ro <br /> 2,14€ I �f <br /> �I,� X024 _ X ' 1 <br /> I <br /> 4 1 i ,� 3 �, of;AM <br /> x X E o <br /> ' <br /> . o U6er I r <br /> I y 9int�Fi. - <br /> ` B; �� ? I t a Zof Y <br /> • <br /> 7 X <br /> 8 �ll� 4I'P i' -a 2�f� -r <br /> 91 <br /> r , 5 <br /> a <br /> I :' 'S'� Received B DateF-J 9`� Time G �� i <br /> � , �I quashed By Date Time � J <br /> 4e <br /> / J _E <br /> I { @t ulshed B Dated>-��! Time l�� RecUed B I Date I Time <br /> .I 1 r1 uf�hed B r Date Time Received B Date' <br /> Lab ' I Tlme <br /> p`les Received In Good Condition?❑Yes ElNo Samples on Ice? ❑Yes❑No Method of Shipment Page 1 of <br /> T }palated upon treceipt of report ti <br /> t j ' er4Ith,�analyses,requested on the Chain of Custody reported? Q Yes❑ No If no, what analyses are still needed? <br /> �pljhe issued within the requested turnaround time? ❑Yes❑ No If no,what was the turnaround time? - ---i --- -- <br /> ,� ' i' r y #I I�f'�+I N s i I ''# ' Signature Coni an Date <br /> A d e�iP Y <br /> 'ii llf 77 it ' ' <br />