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i <br /> R®., <br /> ® ' 0 885 Jarvis Drive•Motgarn}lair,GA 9'037•(409)7761961)cl'VAX(40A)782 6YD8 0 f9939 1213th A%e.N E SuFia 101 •Ckthell.VOA 98011-(706)4ai•9200 <br /> UNOk.O/A ❑819 5lnker Ave,Suite 8•Sacramento CA 955411-(9113)011900 C1 f=ast 1 d 145 Montgomery,Suite 11-Spoltane,WA 99206-(5091924 9200 <br /> 0 444 N Wgat Lana•%Yalnut Creek,CA 94593• (3Z5) 988 900 ❑IS055 S W Sequoia Pkvy Suite 110-Per0and,OR 97222•r,43)624 98M <br /> 11 1 <br /> d �1455 McDov.all Wed Norll ,Suite 0�Petaluma,CA 94954.1707)792-IMS GLOBAL 1DO T007700008 <br /> � a n <br /> Consultant Company Gett:ler—R an Inc. I pro]eot Name Dormer Unocal 05098 <br /> Address 6747( Sierra roust, Suite Ji tJIVC3CAL Project Manager (required) Nick Nickerson 916-714-3205 <br /> City _ Dublin State rA Zip Code 945b6 AFE# <br /> Telephone 925-551-7555 -- FAX fa 925-551-71899 Site #, City, Stats: 5U9$, 5606 Pacific Ave. , Stockton CA � <br /> Report To Deanna L. Harding Sampler C�K(a--\f6 OG Data O Level D (Standard) U Level C O Level B ❑Lovel A <br /> Turnaround10 Work Days ❑5 Work Days ❑3 Work Days 0 Dnnking water Analyses Requested E <br /> Time, U 2 Work Days U Mork Da ? G 2-8 Hours <br /> Y 1 y „ U Waste Water <br /> CODE; 0 Mise U Detect U Eval J Remed U 00MOT 0 Clos4rro UOther <br /> I. <br /> Client Datef lm'e Matrix #of COW] Laboratory .'� ��� �\ <br /> Samplo 10. Safmplod Desc. Coni Type, Sarl3ple Comments <br /> 1w 44-5, 4 3 � c ` I ti s o <br /> 2 PAWBA.DIFN 1177113r, <br /> 0111 <br /> 4 MW <br /> 5 W—° 16/76/0311151C <br /> report all wA1.R _ <br /> S>ran <br /> 7 <br /> Relinquished By1 bale 'j irn Received yI/l1� TimeUT%V-0VA 4141"W W- <br /> - - - >w <br /> �7f�e!]nquished By_ i Clato ' G Trlr��e ReceivedBy. Date Time <br /> Relinquished By. Date --- I- Tilme Received By. Date Time <br /> Were Samples RecervedIM Gaud condition? ,N'Yes G No Sampl s on fco? XYas U No MalhW of Shipment Rage—of <br /> To be onmpletnd upon recelpt of report. i - <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes U No If no, what analyses are stilt needed? <br /> 2)Was the report Issued tvithIn the requested turnaround time? I' ❑Yes O No If no, What was the turnaround fte? ' <br /> App roved b RyL_ Ltt1S�'itJ Rt naluro Company G_�_fie <br /> Y - - -- — --- - - - P Y- - J - Dat r? <br />