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r U 865 Ja tYiS Dt7V9•Mo[gaA Hill,CA 85037+(408)778^9600•FAX 7826308 Q 18939124th AVO.N E Sucre 101•Efatholl,WAIN i • :wiqo -x'9200 <br /> o 8 t 9 striker Ave..Sude S•Sacfamenl%CA 95834 9(9161921 O Casl 11115 Momgornary, <br /> N SLute 0•Spoktufe,WA 09206 t54 <br /> U 404 N Mrigct Lane•Watnut Creek.CA 94598'(925)988-9600 a i5055 S W Sequala Pkwy,Sui10 110•Portland, OR 97222 624 9800 <br /> a 1455 McDowell Btvd north,Suite 4•Potarama,CA 94354•(707)792.1865 GLOBAL ID# `i'0607700125 <br /> Consultant Company Gettler-R en Inr., Project blame Former Unocal #2859 <br /> Addrass` �- --- 6747 Sierra Court, Suite J UNOCAL Project Managor Veguired). Nick N3ckeison 916-714-3245 <br /> City Dublin State, CA Zip Gode 94568 AFE It - <br /> c <br /> FAX# Slte ##, Crty,.State. x`2859 1664 pigeif a Avemse, <br /> Telephone. 97.5-55 --789 _ t3 <br /> l' 425-551-7555 <br /> '�, qG Daia eve{ p#Standard) ❑Level C ❑Level B ❑Level A <br /> Report Denim. L. lkardin Sampler_ y � r a- <br /> S <br /> Turnar+oun 10 Woik Days ❑5 Work Days <br /> ❑31Nartc Oat's U Dnnkrnr�Water Analyses Requested d <br /> Time: J 2 Work Days 7 Work Day ❑2-8 Hours U Wasto Wale <br /> U Fwal U Romed u Damol L_1 Closure <br /> CODE: ❑Mrsc tact <br /> Client DatefTlme Matrix #of Coni LaboratoryComments <br /> Sample 1 D Sampled Desc Cont Type Sample 4 <br /> TDA,DIPE,ETBE. O <br /> Vr+SpF-+3-+3 � I - — * _ - IAW,1,21rA, <br /> 3 -TDB <br /> - � <br /> d. - - <br /> 5. � <br /> 6. <br /> 7 - <br /> 8 <br /> 9 -- <br /> 10g <br /> Relinquished Ely Date oY Time ReceIved By. - _ Date_'Iel-m Q Time, 01-0 41 <br /> Relinquished 8t' - Dateofi -g � Time/1,70 Received By, ��, � Date Time <br /> Relinquished By , OAte$ $ 3 Tlme•)1 3 R(Iceaved By s Data Tarte f C <br /> l .y ` <br /> Were Samples Recerued in G Condition? $ as V No Samples ori Ices myda D No Molhod of. t t t� ` 4" ' i�6gC �b — . <br /> To be completed upon necelpt of report " e <br /> 1)Were the analyses requested on the Chain of Custody reported" t_lYes U No If no,what analyses are still needed? <br /> 2)Was the report issued within the requested turnaround time? ❑Yes ❑No 1f no,what was the turnaround lime? <br /> mfr `•^-G • vato`3 <br /> Approved by �1 f L- Signator . Company. _ _ <br />