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iJ 680 Chesapeake Drive•Redwood City CA 94 (415)364-9600 U 18939 120th Ave,N E bode 101 •Bothell,WA 98011 •' 481 9200 <br /> U &A0 I_1 819 Striker Ave Suite 8•Sacramento CA ' •(916)921-9600 U East 11115 Montgomery,Suite B•Spokane WA 99206 924-9200 <br /> U 1900 Bates Ave Suite LM•Concord CA 94520•(510)686-9600 U 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)624-9800 <br /> Company Name LO Project Name 5 <br /> Address �{i� ti �'+ La 1 UNOCAL Project Manager <br /> City C_ - State zip Code Release# <br /> ar <br /> Telephone N-10) FAX # (,��� "��C' Site# LSC U <br /> Re ort To z v� ISampler,nrl\ ��k c r/ QC Data Level D(Standard) ❑ Level C ❑ Level B ❑ Level A C <br /> Turnaround al O Work Days ❑ 5 Work Days ❑ 3 Work Days L) Drinking Water lAnalyses Requesteda <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE- ❑ Misc "�A Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure 0 Other <br /> Client Date/Time Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# f Comments <br /> a r,14 51126-73 0 <br /> 5 C13 <br /> J <br /> 4 <br /> 5 <br /> s C� 13cfi:8 <br /> s � <br /> 9 <br /> 0 <br /> .0 <br /> Relinquished By 1i L �, kcI A. Date Time Received B ti Date Time <br /> Relinquished By Z Date J)1Z_1 Time JZ 00 Received B Date Time <br /> Relinquished B Date Time Received B Lab Dat_ 9S T1me Z <br /> Were Samples Received to Good Condition?rJ Yes IJ No Samples on Ice? ❑Yes U No Method of Shipment Page of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? IJ Yes IJ No If no, what analyses are still needed? -- -- <br /> 2) Was the report issued within the requested turnaround time? iJ Yes fJ No If no, what was the turnaround time? - --- - ------ <br /> Approved by Signature _ __Company _ Date _ __ <br />