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_ U p U 680 Chesapeake Drive•Redwood City,CA 94063•(650)364 9600 U 18939 120th Ave,N E Suite 101 •Bothell,WA 98011 •(206)481-9200 <br /> O� <br /> lL�l L ❑819 S1 raker Ave,Suite 8•Sacramento,CA 95834•(916)921-9600 0 East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924 9200 <br /> 0 404 N Wiget Lane•Walnut Creek CA 94598•(925)988 9600 Q 15055 S W Sequoia Pkwy, Suite 110•Portland OR 97222•(50' 9800 <br /> ❑ 1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792 1865 <br /> Consultant Company �'7ic�n Tri, '�41 Zsov SI-�• Project Name rjrm e-1 �n Dc� <br /> Address 6.7V-7 Sr <br /> iera Ca c-rf .C....� K S UNOCAL Project Manager Hr gab '3o <br /> City 6r! State Gia Zip Code 9c fS6 g AFE # <br /> Telephon 9ZS� sr-51 S'S.� FAX ��SS1��$�9 51ie #, City, State �`6p� Ac' 4J,. sAcj: 4 <br /> Report To d),, ,s,nq I h6 rZ34; Sampler J TGS `h QC Data �Level D (standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Y <br /> Turnaround 10 Work Days ❑5 Work Days ❑3 Work Days ❑ Drinking Water Analyses Requested a- <br /> Time 2 Work Days ❑ 1Work Day ❑2-8 HoursLY <br /> ❑Waste Water -� <br /> CODE: i?Misc U Detect ❑ Eval U Remed ❑Demol U Closure U other <br /> Client Date/Time Matrix # of Cont Laboratory Q�(4 tib Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> a <br /> P'� H10 <br /> 906-1571� <br /> .- 2 14 V- If lift 9061573 <br /> 3 w - rrq S - '+� 4 Z 9061574 <br /> ;;V4 90fil.5'15 <br /> 5 w - z!s b f'H Z �- 90685`76 X ' <br /> s - z1 �3'f'M 2- k 90615'7`7 � <br /> 7 MQ� ZZS f'►� Y 9061578 X <br /> L <br /> 9 <br /> 10 0 <br /> Relinquished By / Dated /VTime ,iA Received By Date (o--((r Time f.� <br /> Relinquished By � (.� �-c1 Date (p rr Time Received By Date 4y Ttme `�-r <br /> Relinquished By Date(p.- Time J�013 • Received By La � DatTime jam-DO <br /> Were Samples Received in Good Condition? U Yes ❑ No Samples on Ice? ❑Yes U No Method of Shipment Page Z-o1 Z <br /> To be 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)Was the report Issued within the requested turnaround time? U Yes L7 No 1f no, what was the turnaround time? <br /> Appir Signature Company 1iWe <br />