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I O 680 Chesapeake Drive•Redwood City,CA 94063•(415)364-9600 0 18939120th Ave I.N E,Suite 101 ■Bothell;WA 9W 1 •(Lua)Q51-t1l <br /> UNO C A Le ❑819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921-9600 C1East 11115 Montgomery,Suite B•Spokane,WA 99208•(509)9249200 <br /> 0 404 N Will Lane•Walnut ChIeek,CA 94598•(510)988-9600 ❑ 15055 S W Sequoia Pkwy,Sude 110•Portland,OR 97712•(503)624-c=' d 1f 1� ` <br /> Consultant Company'&e,#J00V. y0Al Project Name e ss $v 98 <br /> Address i. UNOCAL Project Manager <br /> City. D t4 614 State i Zip Code 9 /Tj6 F AFE# ` <br /> li <br /> ii m <br /> Tele hone yZT Sf" 7-S_X-V- FAX# 2 P'Y5'_/a Site#, City, State 5'604 C U - <br /> Report To t_,PV�C6. r am ler " b ll)'l QC Data Level D Standard ❑ Level C ❑ Level B ❑ Level A c <br /> Anai ss Requested 10 Wark Days ❑ 5 ork Days ❑ 3 Work Day's ❑ Drinking Water a <br /> Time: ❑ 2 Work Das ❑ i Work Da ❑ 2-8 Hours�� 14L Waste Water r <br /> CODE: ❑ Misc ❑ Detect ❑ Eval '❑ Remed L❑ Deri 1.❑;Closure ❑ Other11 <br /> Client DateiTime Matrix #of Cont Comments <br /> Laboratory �� �'D ' { t , <br /> Sample I D Sampled Desc Cont � YPB I� Sample# r <br /> 12 <br /> z � <br /> 3 AW- 1+ <br /> X v 3 <br /> 5 (J— ! I i"1 ; 4 Z ; <br /> } <br /> 6 13 4 2 <br /> - <br /> -110 w- <br /> Relinquished By ; r' Datedb Time Received B ` ` Date C7�Time. �K <br /> Relinquished By _ Date �' Time Received By Date : ime- <br /> Relin uished l3v I Date 1: 1� Time Received Bv Lab Date ime <br /> a <br /> Were Samples Received in Good Condition?❑Yes No Samlpies on Ice? ❑Yes❑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? 0 Yes a No If no,what analyses are still needed? <br /> 2) Was the report Issued within the requested tumaround time? ° Yes a No If no,what was the turnaround time? <br /> Approved Signature Company, D <br /> a <br />