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UNOCOL L)680 Chesapeake Drive•Redwood City,CA 94063•(650)364-960 ❑18939 120th Ave,N E Suite 101 •Bothell,WA 98011 •(,0b)1-azuu❑819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)92i 96 ❑East 11115 Montgomery,Suite B•Spokane,WA 99206 (509 9 00 G]404 N Wiget Lane•Walnut Creek,CA 94598•(925)988-9600 o 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503 4-9800 D-, X3 n 1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 Consultant Company gg7t6�r-I Pct^ 7o%c-. A6 A� z-ft D Project Name d S W 50qg Address 6-N-;1- -51 r f"rq Gb Le rf -C-r- , f<- UNOCAL Protect Manager Nr. A,� C�'d417�` City 'b'4111'0 State <fq , Zip Code eJgr,6 AFE # TelephonE(Qyr') FAXy-1s-)S57,7 Site #, City, State a� Report To � y nu L r� Sampler j1�,� 'Tj 14 �, QC Data Level D (Standard) ❑ Level C ❑ Level B C3 Level A U x Analyses Anal Re nested Turnarourid � 10 Work Days El Work Days 0 3 Work Days C3 Drinking Water y q Time, 0 2 Work Days ❑ 1Work Day ❑2-8 Hours Waste Water CODE: ©Misc O Detect 0 Eval 0 Remed ❑ Demot ❑Closure ❑Other �\�� `O Client Date/Time Matrix # of Cont Laboratory Comments Sample I D Sampled Desc Cont Type Sample # ( V11 o 1 T ..L I ! p 0 2 4L 3 4w i+1) A 4 1e1 1 `i 0`4 X } 5 , � Z Ali 6 U PA 7 AV, 8 AW - ILI a 4 M 4 - 9 Jq -, r5- a -� ,� q- 4 X X 0 10 µW,) J i ,•t Z y xco Relinquished By Date I L Time Received By � �Q.�l/1.L��C1GU.QPL�h- Date 13 �9 Timet��b m Relinquished By Date Time Received By Date Time Relinquished By Date Time Received By Lab Date Time Were Samples Received in Good Condition? ❑Yes 0 No Samples on Ice? 0 Yes ❑ No Method of Shipment Page of To be completed upon receipt of report 1)Were the analyses requested on the Chain of Custody reported? ❑Yes ❑ No If no, what analyses are still needed? 2)Was the report Issued within the requested turnaround time? ❑Yes ❑No It no, what was the turnaround time? Approved by Signature Company Date