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Mr EVA sui @ta! 4t i 77 gtf e4-tM M <br /> Corlsl�tlanl anY Settler-R an Inc. Nemo: Ft <br /> ormer Unocal 05098 <br /> Address' 6747 Sierra Court:, suit Q J UNOCAL Project Manager <br /> Nxcfc Nickerson 916-714-3205 <br /> City, aubl an State DA �,p Code 94568 Al #, <br /> Telephone. 925--551. -7555_ FAX # Silo#,City, Slate: - �. <br /> 925-551-»7879 y, <br /> —n — Sa 5�t40 5606 Pacific A , Stock on. ip <br /> Report To. Deanna l,. llardir�g Sarnp�er Ua��� <br /> /cg v3 QC flats levet d (5terrElard) C I.eyol C ❑Level B O LOV91 A a <br /> Turnaround ,0 Work Days a 5 Work Days ❑3 Work Days - <br /> 11MO. 2 Work Days U Mork Day U 2-8 Hours Q DririkTng Water Analyso9 Requested <br /> Waste Water <br /> CObE: ❑ttirliae u Detect t?Evat ❑Reined Q Dernol O Closure Cl Other <br /> N <br /> Client Date/The Mairix #of Corti Labomfory �- <br /> SarnpTe I D Sampled Deac Coni Type Sample 0 Commenis <br /> 1 113 1}z,� I � - t) , <br /> _"V_ J-0 A,— b f wo _ - - ``L X X _ _ ilanrti�r'a tee, `o <br /> MW 0 UD 1, 10 Y- TAl rr�1l20 A, <br /> 6. 1414 <br /> 0 <br /> Reim B <br /> Relinquished ��,/ -r <br /> q y <br /> Data� f�� �YTime:f _ Received � , <br /> • �f + D !v �ate Time d`eg <br /> 1�pRnqurShed By � Date Tomo• Received By _ <br /> Date. �- Time <br /> Relinquished By. Date Trmo: Rocorwed By Lab Date <br /> Xrrtlo: <br /> Were Samplos Received in Good CondittaW ❑Yes Q No Samples on Ice? €J Yes U No Melhod of Shipment Page <br /> of <br /> iI <br /> To Ito completed upon receipt of repprt - --- <br /> 1)Were tho analyst:.s requasted on the Cham of Custody reported; ❑Yes ❑No It ng,what analyses are 81,11 Fpoded7 <br /> 2)Was the MPort Issued within 1110 requested turnaround time? ❑Yes U No it no,what was the turnaround lucre? <br /> Approved by �- /'1 SGunalure� Company <br /> I]al0 <br />