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❑680 Chesapeake Drive Redwood City,CA 94063•(650)364 9600 ❑.18939120th Ave,N E Suite 101 •Bothell,WA 98011 •(206)481-9200 <br /> UNOCAL ❑819 Striker Ave,Suite 81•Sacramento,CA 95834•(916)921-9600 0 East 11115 Montgomery Suite B•Spokane,WA 99206•(509)924-9200 <br /> Ci 404 N Wiget Lane•Walnut Creek,CA 94598•(925)988-9600 ❑15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> ❑1455 McDowell Blvd North,Suite D•Petaluma,CA 94954•(707)792-1865 Yv Tfi07 7O()t;0 <br /> F I[[ n <br /> Consultant Company GPt L3-e--R j--tr In r- J' 1[ E Protect Name ��_�, tinc�ca- 05€ 98 & ?Ioritgorr.o rr j `-tai ds � <br /> AddressI <br /> 6747 Sterra fN17'r, saatte J UNOCAL Protect Manager Heir Nlcf;.e-Ron 916. 714-3205 <br /> I <br /> City11u�3 ; State CA y Zip Codes AFF # <br /> Telephone FAX #3 K551-/555 )-:3l51 -,I7I 899 Site City, State 5098, 5400 & 5005 1 aci f1c = <br /> Ave.Ave. , 81:06-tcvn, <br /> Report To DeaT3ua L. Harding Sam pler,�{�� �� � ��r=�+= OC Data � � Level D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround (S 10 Wo-rk Days ❑5 Work Days D 3 Work Days ❑ Drinking Water Analyses Requested <br /> Time ❑ 2 Work Days ❑ 1 Work Day ) D 2-811 <br /> Waste Water <br /> CODE. ❑Misc ii Detect ❑ Eval ❑ Remed ❑ Demol O Closure ❑Other <br /> ,i iii <br /> Client Date/Time Matrix # Of � Cont Laboratory Comment <br /> Sample I D Sampled Desc ICont Type ` Sample # s <br /> { 141' Y � ks <br /> for8260 Full Report BScar � <br /> O <br /> 23�s rC}€' ��tdtJ »t wr ��� �� R <br /> 3 MW 7Oxy s—MTBE, —coJ <br /> TBA DIPE ETRE <br /> ' f TAME 1 2DCA o <br /> 4 t ) ] z ' w: <br /> 5 IM <br /> ( r <br /> ej <br /> J <br /> 6 �p�i 'E <br /> iy P�� '" <br /> 7 �t ' a <br /> 10 <br /> Iff ff <br /> a <br /> FyTx , �o <br /> Relinquished By �m { Date ! (Time t Received 8y - Dated Time <br /> Relinquished Byr r Date 11 Time Received By Date Time <br /> Relinquished By Date IITlme Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes O No p p <br /> Samir les on Ice? ❑Yes ❑ No Method of Shipment Page_of <br /> To be completed upon receipt of report f <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes ❑ No If no, what analyses are still needed? - <br /> 2)Wa he report Issued within the requested turnaround tlme�l u Yes No If no, what was the turnaround time? <br /> Approved Signature Company D!C�= <br /> 11 <br />