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i <br /> 4 885 Jarvis Drina•Morgan Hill,CA 96WI■1(408)]76 9600•FAX(409)782 6308 Q 18939 120ih Ave.N F. Suite 141 •Bothell',VJA 98011+(206)481-9204 <br /> UNOCAL �[ <br /> U Big Striker Aae,Suite A+Sacramenfq CA 951134•(918)921.9600 Cl East 11115 Montgomery,Suite E3•Spokane,WA99206*(509)924-9200 <br /> U 404 N Wlget Lane*Walnut Creek,CA 94599�(925)088 9600 Cl 15055 S W Sequoia Pkwy,$u�te 110•Portland,03197222•(503)624-9800 <br /> 011455 McDowell Blvd North,Suite D it Petaluma,CA 94954•(707)792111&5 CLOBAT, Tnt 70607700123 <br /> ' <br /> Conskiflant Company C,ett:1 cr--Ryzn Fnr•. PrOOP-1 Nerve'�� _ Fortner Unocal X2$59 <br /> Addrass6747 Sierra Court, Suite JUNOCAL.Project Manager(required): Nick NJcker:,on 916--714--3205 <br /> City' Dublin State, CA T_ip Code. 94568 <br /> AFE# <br /> �}}}(#' Site tt, City,State #2859, 1665 Pacific Avenue, Stocktork, CA m <br /> TClaphano' 925--551--7555 925„551, 7899 - - <br /> Report To Deanna L. Harding Sampler t [[ L QC Data• �t oval O(standard) 0 Level C U Level 13 ❑Level A <br /> nested � <br /> Tumaround 0 Work Days 0 5 Work Days ❑3 Work t}ays O DrinkiAn lyses Re <br /> ng Waler 7 EL <br /> Tlrne• 0 Work Days O iWark Day O 2 8:Hours L)Wa4to Water a '� <br /> CODE: ❑Mise etect 0 EvAT 0 Remed a Dema1 13 Closure Other <br /> Client Date/Time Matrix #of Cont Laboratory Comments <br /> !.D Sampled Desc Cent T YL}e Sample# <br /> Samplep i <br /> TFIA,IN PL ETB <br /> 3 MJ- EDP , <br /> 10 4. A&Lu- 13) 137103 $ls -- - - - L }C. <br /> 7. -AAw •- 1G g >�3 fps �It o <br /> e www t jas�� alp <br /> CO C <br /> -lo. AAw- 9 61C lqfs- F —9V Y� <br /> It II <br /> Relinquished By _ Qat Tlmo: Received 8y Date.�P 4Time <br /> -- ---- I <br /> Relinquished By Date�4t! 1671 Time J5 Received By Li Date Time ) <br /> Relinquished By �Wb�}l Time Received By. % Date. - Time ----- <br /> Were Samples Received ood on 3t[an? Yes U No yIC Samples on Ice? �Yres 0 No Method 3T nt Fags—of_ C <br /> 141 <br /> To be Completed upon receipt of report, <br /> 1)Were the Analyses requested on the Chain of Custodyf reported') C1 Yes Q No It nog what analyses are still needed? ` <br /> 2)Was the report issued within the requested turnaround, ime? Q Yes Q No 1l'no,what was the Turnaround time) - <br /> Appro3re L- 2!1 Signatur " ompany.6 <br />