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6111100,Stl aar�.CAM+(1 � ll ba' S MAWury •Sp Y,IA s�.,U 4 <br /> 0 404 N-VTvet Lane•Minut Creek,CA 94598+t9;5j 9 p 1506619 W Setquua Pkmy,Suita 110+Porttand,()R 97 503 0?4 g8IX} <br /> ❑ 1455 McDowell 131vd North.suite D•t elaiuma,CA 94934.1747)792-18o,5 GLOBAL 10 T06O7700008 <br /> Consultant Company Cottle-r--Ryan Tuc-. Project Name <br /> gnrmr~r Unocal X509$ <br /> Address- 6717 Szerxa_ Coisxt, Suite J UNOCAL. t'tat�ct Manager: <br /> lick PllctteXsor>I 9 Lb--714-3245 <br /> City Dubli i Slate CA Zip Code- 94568 AI~E -- <br /> Telephone 925--551--7555 FAX 4. 925-551-799q Site If, 1ty, Slate <br /> _— Ct15498, 5400 & 56g6 pacific Ave Stockton, CA <br /> Report To_ Deanna T,. Harding Samprer fll r J?7 QC Data: L]Level D(Siandaq ❑Level C l7 Level B ❑Laval A t <br /> Turnaround U 10 Work Days v d 5 Work pays ❑3 Work Dabs C]Drinking 1'Veter Analyses Requested ; <br /> Time-, 0 2 work Days U Work Day U 2-8 Hours <br /> ❑Waste 1Nate=.r <br /> CODE: ©Miss a Oetect ❑Eval G Reined L]oemul 0 Clasule U 01bor ��1) �� 0 <br /> Client DWW[me Matrix ff of Govt. Laboratory •�� 167 � <br /> Sample;I D Sampled Dl;sc Cont Type Sample 4 ,� ' Commonls <br /> �• ;7_, t <br /> -- d � .- ],-' Reporl all pals <br /> on 8260 Fall <br /> Scan <br /> 4 <br /> . 5 1;5FACI <br /> - <br /> 7. -'P <br /> ( 7Cxy's-NSTn>w <br /> j z �.P - Qj ILIA,PIPF T1TrlTL _ <br /> 9. -- 1 TAM r,1,2 t7(A <br /> io, <br /> 0 <br /> Ro[Irlqufshed 13y �' date Tfmd 5;rr Received RY Date <br /> 1.5` Trn�e <br /> Relinquishad By , _ LU Date Tina- 19'3 Soceived By- ` Date lime <br /> Relinquished By. t Daley/a,/,, Time:nol) Received By Lab Date• y Tfine' <br /> Were Samples Rec2lved in Goad t;ondltran?:-- , amptes on Ice? © s of S -�Ita page— <br /> To be completed upon reoelpt of report <br /> 1)Were the anslysys requested on The Chala of Custody reported? 0 Yas U No It no,what analyses are still needed? <br /> 2)Was the report issued withm the requested turnaround ttmo? ❑Yes U No If no,what was the turnaround time? _ Q� <br /> Approved by. G'h yl L 11hWst!7xJ Signature - Company. z� <br /> _Date. r <br />