Laserfiche WebLink
t J s Ph U 680 Chesapeake Drive-Redwood City,CA 94063-(415)364 9600 U 18939120th Ave,N E,Suite 101 -Bothell,WA 98011 -(206)481.9200 <br /> U i, e 0 819 Striker Ave,Suite 8-Sacramento,CA 950 16)921-9600 U East 11115 Montgomery,Suite 8-Spokane,WA 99206 9)924-9200 <br /> U 404 N Wlget lane•Walnut Creek,CA 94598-(510)988-9600 U 15055 S W Sequoia Pkwy,Sults 110-Portland,OR 97222 (503)624-9800 <br /> y i <br /> 'I !R,�1 �' ''r4t�Com a Pro ect Name- <br /> ' 11 <br /> liti,t p rU!�I -tt�Hier a800 cf S— j �f1U Q <br /> d �� Cu u r+ UNOCAL Project Manager Rabe.+ (3ou <br /> i f p <br /> tli�r''ii State Zip Code 1gS6 AFE <br /> 1 I i iva <br /> i yi t j-�,� S"3 "` I FAX# Z�' -` Site#,City, State 'L 3 [ me v <br /> } II 71 L + 4 li P Ili 1"#�i� 1 i Ek"l'� ' , , , i <br /> a VVVJ s••�nc� 11�� } f Sam ler i QC Data ❑ L9vel D Standard ❑ Level G�'- " ❑ Level B ❑ Level A c <br /> ! a <br /> 'twit' b' 'nrl ❑�o W6kDay � 3 Work Days ` ❑ 'Drinking Water �'�` Analses Requested <br /> ❑ r ❑ Waste Water (� ,i <br /> T��rrii �� � {}i2�Wo� Deis:�� <br /> ❑ 2-t3 Hours , �° ,TUU <br /> ib bb'f Ii01"" b Detect ❑ Eva) ❑ Rdmed 0 Demol ❑ Closure b Other )ati�G`�r �'� 19'� tf �`� ti \ �ip1 <br /> E' Date/Time Matrix f i #of Cont Laboratory L p` ; ��V D"' r` f i ""r ,, <br /> ! } i 4�� 1 1J 11(}t > 1 � � �� V '`� tat \ <br /> 1iil� 5ample'i D ' Sampled besc Cont Type Sample#A �� �1 `� A5 r '' �� �� Comments <br /> D All 9 006559 X K 2 <br /> C <br /> Iro <br /> i, <br /> HX <br /> 2110 <br /> GMA <br /> 9 woE:" rK <br /> cri <br /> II Ef j <br /> k X1 1 itl E111 11111lcc <br /> ,' 1 HEie inquished By. Date 5`9 Time Received B Date Time <br /> .1i" <br /> l i i t dished By; ` Date Time Received B Date Time <br /> } �w.f�t'� .5 99 l 7 " 3S <br /> , � <br /> 1.Re lit utshed By Date ITime I Received By Lab I Date ITime <br /> mp1es Received to Good Condition?0 Yes©1No Samples on Ice? 0 Yes Q No Method of Shipment Page Z ofZ <br /> JAI <br /> 1� ',It I i oomp ete upon receipt o report - <br /> j I i Were the analyses requested on the Chain of Custody reported? ❑Yes 0 No If no, what analyses are still needed? . <br /> i what was the turnaround time? <br /> Was,the report issued within the requested turnaround time? ❑Yes❑ No If no, at a <br /> �, t, � <br /> r ved by Signature Company Date <br />