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❑ 680 Chesapeake anve•Redwood City,CA 940 5)364-9600 ❑ 18939120th Ave,N E,Suite 101 •Bothell,WA 98011• i-9200 <br /> I x'819 Striker Ave,Suite 8•Sacramento,CA 95918)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206•(54 9200 <br /> U q ❑ 1900 Bates Ave,Suite LM•Concord,CA 94520•(510)686-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> Company Name YMVrG• Project Name nprmer &nxi Pye, 2,q-�-1 <br /> Address cp itI d UNOCAL Project Manager All <br /> CityRaOV State Zip Code �56 f 0 Release# T O ! <br /> c <br /> Telephone 111ij `ten 60 FAX# I3 r—lip- Stte# P JiHr 0 <br /> Re ort To CV 0, AJj Sam ler h1� QCData 10 Level D(Standard) ❑ Level C ❑ Level B ❑ Level A c <br /> d <br /> Turnaround 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Requested <br /> Time: ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other Q� <br /> VV <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 0 <br /> 2 W- 1 L <br /> lc moa <br /> 3 MVV- I v , <br /> 4 <br /> m <br /> 5 <br /> 6 <br /> s <br /> 9 � <br /> 0 <br /> 10 <br /> 0 <br /> Relinquished By r Date f Time O eceived B Date 1012116 Z Time <br /> a� <br /> Relinquished By Date Time Received By Date Time <br /> R61in cashed By I Date iTime I Received By Lab Date lure <br /> Were Samples Received in Good Condition? Yes 0 No Samples on Ice? WYes O No Method of Shipment Page of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Cham of Custody ported? 0 Yes O No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaroundime? 0 Yes 0 No If no,what was the turnaround time? <br /> Date <br /> Iure Company <br />