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mnww 885=DrrveMan H�w3�)77ti�t sz 12NIM ,ot39rr,, „ •M' !• <br /> U 819 Sinker Ave.Suite 8•Sacramento CA 95834•(9w)921 U nasi 11115 hSontgamery,SUils d Spokane VbN 99M-(�P09 ;�(f0 <br /> r!404 N Vriyel Lane•Walnut Creek.CA 114598•(925)988 96CO >i5055 s w Sequoia Phay,Subs 1 to•Poriland Ori 9722? (5 24 9804 <br /> U 1455 fAoDonrell S10 With,Suite D•Petaluma,CA 94954•(707)792-11365 C7LOBAL IDO T06077(10008 <br /> Consultant Company Geteler—R an Inc. Project Name Farmer Unocal 05098 <br /> Address 6747 Sierra Cnu-, t:, Suite 1 UNOCAL Project Manager(required) Mick Nickeraozi 916-714-3205 <br /> City, Dublin Stolle CA Zip Code 94568 AFE# <br /> Telephone 95-551-7555 FAX #. 925-551-7899 Site#, City, 54110 _ _ a <br /> Re ort To g Sarepler. � -- VO -- (IC Dala © Level D (Standard) U Level C C1 Level B 0 Levet A � <br /> P Deanna L. fihr'dfn ' <br /> _ 3 <br /> Turhavound X10 Work Days 0 5 Work Days 0 3 Work bftys 0 Drinking Water Analyses Requested Id <br /> Time, a 2 Work Days ❑i Work DAV U 2.8 Hours O Waste Water <br /> CODE: ❑Misc ©Detect 0 Evst ❑Rarned U Demo] U Closure, U Other <br /> Client Daterrime Malft # of Cont Laboratory rf - t� Comments <br /> Sample 11) Sampled Dese Cant Type Sample# <br /> L cdw V a A '3*5 05 F(C) _x <br /> .. o <br /> ox} s 5f f�E. a <br /> 2 1VklW�` 1 r �e�tl — i ---- -� `�, — TBA,DIPS,r.T13K <br /> AA <br /> 0115 <br /> '5 M w-- d _ J Report alt Peas <br /> - <br /> tic,st260 resit <br /> 7. MW— 0' J°k .1 <br /> 8. MVj <br /> 9 Milt/ 8-"D 1310 <br /> Relinquished By, A Date Timm Received By: Time m <br /> Rehnquishod By Date Time' Received gy Date Time <br /> Aelinquished By Date Time Aocelved By Date 'Crete <br /> I <br /> Were Samptw Recolved in Guod Condition? Ayes Ct No Samples on Ice? Yes U No Method Of Shipment Page�of _ <br /> To bra completed upon receipt of report <br /> 1)Were the anatysys requested on the Chairs of Custody reported? 0 Yes O No If no, what analyses are stilt needed? <br /> 2)Was the report Issund within the requested turnaround time's U Yes U No If no, what was tho turnaround time? _ <br /> Approved by. ignaturo: _ jEompany -.Q Date <br />