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1111111111111111385Twow ,i��rt�4*MnH�il�V37r7snxJz f+3_ r2r5t ra E�11}iti,w i •( f6624 <br /> 1_ <br /> 811?Stnr�er Ava,Quito 9•Sacramento CA 95634. 9tfia 921 9 U CAst 11115 MOA19omery Suite 8-Spokane,ti"7A 992061 (5U9) 0 <br /> Q 41M N l 7t0et Ong+%Vgfn ut Creek,CA$4593*tf 25)988 9600 U 16055 S W Sequoia Pkvey,Suite 110•Porgand,OR 412'22+t5961M <br /> Cl 1455 McDowell 9tvd North,Suiro D■Petaluma,CA 94954•(707)792-1855 GLOBAL 109 T0607700008 <br /> Ctlnsuitant Company Protect Name Forrncr jr��r><J 5098 <br /> GeC tl�a r—R' an Inc. <br /> Addross 6747 :iters Court, Satire 3 _ UNOCAL Project Managor(required) Nx.j., Ni.ck£rson 916-714-320 <br /> City Dubl.Ln Steele CA Ztp Code 94568 AFE# <br /> Telephone 925-551 -7555 -- FAX# 925-551-7899 Site #, C1iy, State X5098 5606 Pacific Avenue Stockton CA v <br /> Report 7o Deanna L. Hrrrcfiiri Sampler t t QG Data FJ Level D (,Standard) ❑ Level C t.] Level S 0 Level A <br /> C <br /> Turnaround 1t?WarEc days U 5 Work Days V 3 Work Qnyg r3 Dunking Water Analyses Requesters � <br /> Time 0 2 Work Days 0 lWnrk Day U 2 8 Hours ❑Waste Water " <br /> �� . � <br /> CODE: a Mise © Detect Q Eval ❑Remed U Demol ,,3 Closuto U Other 4 ' <br /> ti. <br /> Client DateMme Matrix R of Cont Laboratory <br /> Samplo r D. Sampled Uosc. Gant. Type Sample it Commants <br /> i. ��t 0 530�. IRO � <br /> �p �' } n - 70-. \1I"k, a <br /> W + 19 J 1125 TAMC,1,2KA, <br /> F DR <br /> 4W4D �- i S it t o <br /> — � _ _ ltepnit PN peaks <br /> & Mw— I0 4Yopt 8261?Full <br /> (� Scan <br /> 7 MW <br /> AAW <br /> 0 <br /> RellilgUfsfyed By �J ' ,,� Date Timo -1Ft6celved B - <br /> Relinquishad By. - - - Dore Time Recerved By Dais Tima <br /> Relinquished By. Date Time Recelved By, Uato Time <br /> Were Samples Received in Good Condition? Wes U No Samples on ice) XYas U No Mothod of Shipment Page_of <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chale of Custody raported? ❑Yes ❑No If noT what analysos era dill noodod? <br /> 2) Was the report issued within the requested turnaround time? U Yes Ct No <br /> If no, what was the lurnaround fime7 <br /> Approver!by_�,�`�i�r'?T L-L,!7`�t'�`1�S'.��_ signatur �d��`i���Company __� `��? rnG oatc� -'Y/ <br />