Laserfiche WebLink
❑ 680 Chesapeake Drive•Redwood City,CA 94063•(415)364 9600 ❑ 18939 1201h Ave,N E,Suite 101 •Botholl,WA 98011 •(206)481 9200 <br /> UNOERL (D ❑ Big Striker Ave Suite 8•Sacramento CA 95834•(916)921 9600 C.1East 11115 Montgomery,Suite B•Spokane,WA 99,106•(509)924 9200 <br /> 1900 Bates Ave,Suite LM•Concord CA 94520•(510)686 9600 Q 15055 S W Segiraa Pkviy Suite 110•Portland OR 97222•(503)624 9800 <br /> Company Name ��\�,\�y���,�\C, \L, Protect Name r��C;�, Q \ <br /> Address `�`�t,\ � \� _ �\yam ��' \4�__ \ UNOCAL Project Manager <br /> City j�w`� State C� Zip Code Q\y�1� Release # <br /> Telephone 5\�� V2-�� FAX# " �W– Site # <br /> �\F1 Sam Ier �� ���- 1QC Data .Level A(Standard) ❑ Level B ❑ Level C ❑ Level D c <br /> Re ort To a <br /> i <br /> Turnaround U10 Working Days ❑ 2 Working Days ❑ Drinking Water Analyses Requested <br /> Time ❑ 5 Working Days ❑ 24 Hours ❑ Waste Water <br /> ❑ 3 Working Days 1:12 -8 Hours $ Other <br /> Client Date/Time Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> 407(117-1d Nrl <br /> \\ 0 <br /> 2 �r��\� Ski 1 \'\ y <br /> co <br /> 3 40"'M717 <br /> 4 O'7W71 g a <br /> } <br /> 5 <br /> 6 <br /> 7 <br /> 8 � <br /> o <br /> 10 <br /> 0 <br /> � I <br /> Date Time J <br /> Relinquished By ���� Date 1 f SITime 1330 Received B-—•—�--- D _ ry_ <br /> v <br /> Relinquished By �'—� Date Time Received f3 Date Time <br /> L(C.140 ',l. tt>i�.lL Date(I&P4 Time 1330 <br /> Relinquished B Date 4 Time Received B Lab <br /> Were Samples Received in Good ConditionN Yes O No Samples on Ice'?XYes❑ No Method of Shipment Page 3 of <br /> To bo completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑ No If no, what analyses are still needed <br /> 2) the report issued within the requested turnaround time? E)Yes O No If no, what was the turnaround lime <br /> PP <br /> A rov�r Signature Company e <br />