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U 680 Chasspeake Drrm•nedunod City.CA 94063■(650)364 {1 O IBM 12011)Ave.N[= Suite 101 •©ntnen,WA 08011-(900)0200 <br /> ` <br /> UNOfAL U8119 StnkerAvg,Suite 8•Satxarsterrt%GA 9 834■(916)Up <br /> .1-96M ❑East 11 tis MotllgNnery,Suite B■Spokano,WA 90206•(508)9afs47oo <br /> Ilkrr Q 404 N W190t t. nD-Walnut Crank CA 94598+(923)098-96W ❑ IMM SW Segtrala Pkwy,Suite 114+Portland,OR 01222•(503)ii?4-91300 <br /> l O 1455�1fCT)Mell Blvd North,Sulto D-Petunia,CA 94054.(707)792.1855 CTABAL 110 10607700123 <br /> Consultant Company. Gettier--Ry.ru rnc. �[5� &900MId Project Name <br /> _ _ Foroter tluocal $2859 <br /> Address 6747 Sierra court, surto J UNOCAL Pt>olect Manager* <br /> -- _ Nick Nicker-,on 916-714--3205 <br /> City: llublin State CA Zip Code: 945,8 AFE#: - - -- - <br /> Telephone; 925-551-7555 FAX#f. Site ft, city. Stat ' <br /> 925-551-7899 02859, 1665 Pacific Ave. , Stockton CA <br /> Report To, De rnna L Harding I Sampler../&t- ,S- rq s A 10 r, QC Dala. Lover D t;ir ra} U Level C 0 Level B ❑Level A <br /> Turnaround td work Days 0 5 Work Days ❑3 Work pays U Drinking Waley JAnalysos Requested � <br /> Time O 2 Work Gays U 1 Work Day 1_12 8 Hours �- <br /> �Naste Water � <br /> CODE: ❑mise 0 Dotact ❑Eval ❑Remad U Denlol G Closure a Othor <br /> C13erft Date/Time Matrix #of Cant Laboratory <br /> Sample 1.13: Sampled Desc, Cont Type Sample# Comments <br /> 1 Iiklr [r �- btu . ✓ i!h!� .p( o <br /> 7 Oxp•a 41TOP, w <br /> 2 44 fs f�D -- _off, - IBA.DIFF.ME. $ <br /> S GF y- 4 t 1 AN3 k1,1.2DG1, —Jr-nr; <br /> 71„1- ti -- <br /> s 1�Est- �� k 1�'�� 5' � - �cl�► � - <br /> s. Adtw►'� I S _ �s'38 ,. ,s' � -tib <br /> ROUnquTshed By. , Date- f Tmr} 11Dieceivod By: Date! Tfmo/ 0 <br /> Relinquished By _ [Tato. Tlm1r- Received By Date Ttmo <br /> Relinquished By. I Date. Time Received By lab: Date. Time. <br /> Were Samples Rccomed in Good Condrdon? Ll Yos U No Samples on leer U Yes U No Method of Shipmunl_ Page—of <br /> To be completed upon receipt of report: <br /> 1)Were the ar}alysos requested on the Chain of Custody reportod? U Yes © No It no,what analyses aro still needed? _ <br /> 2)WaS the roport issued within the roquested turnaround tlmo? UYes ❑No It rill what was tho turnaround time?. ._ <br />