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U 680ChesapeakeUnve•HeOWOU0�,ky,uH 0-4 tH4').,uy 'JUVU — -, - --- i4C ��L (DU 819 Striker Ave,Suite Be Sacramento,CA 958 916)921-9600 u East 11115 Montgomery,Suite B•Spokane,WA 99206 )924-9200 U 404 N Wiget Lana•Walnut Creek,CA 94598•{510)988 9600 C! 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222. 503)624-9" Consultant CompanytAOC'44- Ls-09 Protect Name U Address5 • .� UNOCAL Project Manager r t City: ae Stale C fit} Zip Code y AFE # �l " ' � W Telephone ( -- TSS" FAX#` �,zs S- I Site#, City, State bC) f�wc t" MQ l� Sam ler dQx�S c� JQC Data Level D(standard) ❑ Level C ❑ Level B ❑ Level ARe rt To LU- Turnaround IY 10 Work Days 13Work Days L) 3 Work Days U Drinking Water Anal ses Re uested Time: ❑ 2 Work Das ❑ 1 Work Day 0 2-8 Hours I Waste Water A CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure f> Other Q Client Datef ime Matrix # of Cant Laboratory Sample I D Sampled Desc Cont Type Sample# Q , wfl Comments � .- ,.TS,, ► z �' �za � tldA 8122Uf4 2 14W, 1 D 9. 11:0 i'- 7- -- 3 r/ q.i��5,,., s Y x 8122666 _ 3 " 4 f4V, S 012 7 s w- 13 /n 0)404s `� yc 8122068 - � s r�- rz;�3�P x 5 yG X 812265 7- -1 S �:z LF>�, - z X x 812X►"70 a ,16 i s sV Fpm S d X K 81220"11 9 �� t ire'04 r le yC 8122072 10 L r a Relinquished By Date izJzzh9 Time 6 eceived By Date r2 Time 30D n Relinquished By Date 7 Time Received By Date Time Relinquished BDate ITime I Received J Date . Time YY Were Samples Received in Good Conditions es Q No Samples on Ices Yes LI o et ad f Sh+pment C Page OL To be completed upon receipto report 1) Were the analyses requested on the Chain of Custody reported? Ll Yes❑No if no, what analyses are still needed 2) Was the report issued within the requested turnaround time? ❑Yes O No If no, what was the turnaround time? Approved by —___ _ _—_-Signature _ ____ -Company ____ Date