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UN� � �+ p rns Morgt GA•1s1W4das sal 6a! g ttia�a Ave�Su[�ldoih�ssa�oe}4�pp <br /> ❑919 S[1r1SDr Avo ,Surto 8■Sacramonto Cal 93834•(916) 00 a East 11115 Montgomery,Scute 8■Spokane,WAX AS•( 49Zoo <br /> 0 464 N Wigel t ano•VIalnut Creel,CA 64508■(025)988-9 3 15055 S W Sequoia r•kwy,Suite 11U•Poniard.DR 97222 3)sea-933Q4 <br /> U 1455 MaDo�"11 Hh,t North.Suite O-Pelafuma,CA 04954•(747)792-18135 GLOBAI, ID# 70607700008 <br /> Consultant Company. Cert ler-1L an Inc. Project Name F07-mer Unocal 05098 <br /> Address _ 6747 sierra Court; Suite J UNOCAL Protect Manager(required) Nick Nlckeraon 916-714--3205 <br /> City Dijbi l n Slate CAL Zip Code 945_68 AFE # <br /> Telephone. g25--551--7555 FAX#, 925-551--7899 Site#f, City,Siata P5098, 5600 Pacifte Ave. , Stockton, CA ani <br /> Report To Sampler GC Data L3 Level D(standard) C)Level C 11 Level B U Level A <br /> lleamia L, Hardin A <br /> Y <br /> Turnaround --Pr10 Wotk Days ❑5 Work Days U 3 Work Days O Drinking Water Analyses Requested <br /> Time: ❑ 2 Work Bays ❑ 1Wodc©ay ❑2.8 Hours �Waste Water � 10 <br /> CODE: Q Mlsc ❑Detect ')Eval 0 Remed ❑Demol U Closure ❑Other inIP, <br /> Cllent Datol'Tlm© Matflx # of Cont Laboratory <br /> # <br /> Sample 10 Sampled Desc Cont Type Sample# l� � � •J� Comments <br /> y�,, r!, zo OZr 'TAME,1. 1>GA, <br /> , dz•�!1 d+� Q1 <br /> 5 3'S.� — R4elt: <br /> pbri all b } <br /> ox /-a on 8260 Full <br /> G 01 - 1 {tel s' <br /> 8 - s' _ - <br /> � 10 <br /> �f <br /> Rel[rtgil,shed$y Dato 7a ax Tlme,�j�o Received By Date J��,��3 Time:b%c%6 <br /> Relinquished By- 4U1 � Date � Time. j: }1D Received By Data' 2 Time- � :ao � <br /> r <br /> Relinquished By. Date- lu Time. � Received By Date ol-2 71me r <br /> Were Samptes Reoelved Good Con IUon? Yes ©No r:lmplas QrI tGe� f�Yas U ala Mothod of$ me � Page—of <br /> To be completed upon receipt of report <br /> 1)Ware the analyses requested on The Chain of Custody reported? U Yes L7 No If no, what analyses are still needed? <br /> 2)Was the report issued within/the requested turnaround time? ❑Yes 0 N if no,what was tho turnaround tima'l <br /> Approvod by C�/1e-o`,-11 s Signature p*IX)44� Company l'-X a1y:-� ----- Date 3///A'3 <br />