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0 886 Jarm Duro+Murgan H,II CA 55037 4(4 08)776-KM•FAX(4CO)782 ti�W U 18939 1201h Aea,N E Suite 101 •Borheir,WA 9801 t•(200)X481-9204 <br /> UNOCAL 11 <br /> rJ" 8 t9 Stnlrq r AveAvg,Suite B+9acramanto,CA 4u834•(9 16)921 96D4 U Er}st 11115 Montgomery,Suilc E3+Spt3lcane,WA 99906 A(509]924.9200 � <br /> 4 h II <br /> 4V' J 404 H ftei Lane•warnui Creek,CA 94 599•(925)OW91300 O 15055 S`r1,Segoola Pkwy,Suu© t to•PoWand,OR 97M•(503)624 8800 <br /> ` 1455 McDowell Olvd Florlh,Stupe D Petalvfna,CA 04054•(707)792.1865 GLOBAL IDI 70607700008 <br /> Consultant CompanyCettl er-R an Inc _ _ Project Name- Fortner Unocal 05098 <br /> Address6747 Sierra Court., Sditle 1 UNOCAL project Manager(required) Nick Nickerson 916--714--32Q5 <br /> City. Dublin State: CA 1 Zip IGods" 94568 AFE #. <br /> Telephone 925-511-7555 FAX# 925-5��1--1$9rJ Site#, City, State 05098, 5600 Pacific Ave., Siockton, CA ami <br /> Report To: Deartim't 7„ yarding SamplerLjdj J-Vewl QC Data U Level D(siandard) 3 Level C ❑ level 8 U Level A � <br /> 'Ilrrrroround y 14 Work Days ❑5 Warts Days ❑31"rar&ays ❑DunWater Analyses ffaquested <br /> 11 11Tirane: U 2 Work Days G 1 Walk Day king❑2�6 Hours [Waste Water ,yam <br /> CODE; U Misr- U Detect ❑Eval Q Ramad ❑Demol ❑Ciiosup. 'a 11 If Uhler c <br /> Citont f Qate/Time Matrix #of i Cont �l.abomtvey � F, • ' Comments <br /> Sample I,D Sampled Desc Con] Type Sample# <br /> -56 MA Q[t <br /> y. <br /> fes_ ✓-f ma &1I 70xvs-i►. TB <br /> 04 I _ <br /> THA.D11'EEC, <br /> 5 � w- nz s� ' i I I Report all peaks <br /> fi - Sam 7 L� p `�5 i I �o Full <br /> 8 CX <br /> s //tAkv-/ Ir R `tom ! <br /> I a <br /> �- — -- <br /> t0 alt f f 0 1 _ <br /> Relinquished 13y Date'��! �f Time: Received ay,( ..J4,. Date.')Jn/ Time p' 'b , <br /> II — Z <br /> Reftnquished By Date_ TI ma: Received 8y Date, Time J <br /> Roluiqutshod 8y Date: 2-V Time ; Received By Date.' ,)q Tirne. je, <br /> Were Samples Received If Gaon Condit�an t YeS i a No yid - Haon loan fes U NO Mathnd of <br /> To be completed upon receipt of report- i it I <br /> 1)Were tho analysos requeslod on tho Chain of Custody reported? ❑Yes ❑No If no, what analyses are still needed' <br /> 2)Was the report issued within the requested turnaround time? El Yes ❑No If no,svhat was the turnaround lime? __ <br /> Approve �A�`y/ L 110 A:54n S,grilaiur 11 Company G/e�3`r><'� •__— 3!<<��_ <br /> 3 <br /> r .� <br /> Now l_ t>•■rr '°�� Ire 1� !art <br />