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L1 680 Chesapeake Drive•Redwood City CA 94063•(650)364-9600 0 18939 120th Ave,N E Suite 101 •Bothell,WA 98011 •(206)481-9200 <br /> UNOCAL 0 819 Striker Ave,Suite 8•Sacramento,CA 95834•(915)9219600 ❑East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 <br /> r ❑404 N Wiget Lane•Walnut Creek,CA 94598If(925)988-9600 U 15055 S W Sequoia Pkwy,Suite '110•Portland,OR 97222•(503)624-9800 <br /> c , i <br /> El 1455 McDowel <br /> l Blvd Nr orth,Suitel'D•Petaluma,CA 94954•(707)792-1865 c iSRAL TDO i 0607 7PC;,l 5 <br /> r i <br /> Consultant Company G <br /> Protect Name U n�,n+� V098 & AC'ntg l"r,<A} W <br /> axdq <br /> Address E �� <br /> s,747 Sterra ;,V,u . �uj; t iUNOCAL Project Manager <br /> w T � v L <br /> City i�ib1 =a State Zlp Code AFE # Fr <br /> Telephone 925-,551- , 5 !FAX # -3 Site Slte #, City, State y 6e Pacific <br /> Ave— <br /> Ll7Clt8(� CA T <br /> Report To „iii L• fta v�f ;4 Sampier QC Data dLevel D (Standard) ❑ Level C ❑ Level B © Level A c3 <br /> Turnaround 14.10 Work Days ❑5 Work Days �❑3 Work Days Ell Drinking Water Analyses Requested 5 <br /> Time LJ2 Work Days O ❑1 Work Day' 2-t3 Hours a. <br /> it ❑.Waste Water <br /> CODE: ❑ Misc ❑Detect ❑ Eval 0 Remed` ❑ Demol 0 Closure ❑OtherIL N <br /> Client i Date/Time Matrix #of Cont Laboratory<' �gy V x,'(01 <br /> Sample i D , Sampled Desc Con# Type Sample # `�� Comments <br /> 1v <br /> tt.1 I ?+m)x.., / _ rtrf r �f ( �z�cw all � t3; 5 0 <br /> g "f rya R?GES Val) "�,� j � <br /> 2 �T•,14 r } ^i l �L fP' r �f 1 x/ 0 <br /> 3 ' <br /> 4 <br /> �"�i,,r � 1 .,3 � �i� a.v ���43 it a <..,q! '-y¢� i� � 7 flXy'S—MTBE J <br /> TBA,DOPE ETBE, <br /> 4 Gt _ I _ f l�2 ? %� e I� 6 X �� TAME t,2DCA, o <br /> 1 k EDB <br /> 5 <br /> i <br /> 7 <br /> 8 1 <br /> 9 ,� L <br /> 0 <br /> i <br /> 10 i { �0 <br /> Relinquished 8 fZ � !i ` Date rg Time j Received B y ' <br /> q Y i us� ��'��a'� Y ,��.� �,� Date � "� '_e� Time t <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished B <br /> q Y � Date � � Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? L1 Yes D No C Samples 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) W he report issued within the requested turnaround�time? ❑Yes No If no, what was the turnaround time? <br /> Approved i Signature a <br />