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• U M Chew"ake IWO-Redn,eod City,CA A(415)364-MM U 18939 124th Aire.N-E..Swie l0i•BOM,WA 81011 '(2w)KOD <br /> UNOCAL0 919 Srdker AV1L,S#kQ 0-Satrement%CA 95634■(916)421-9604 fl Fest I i 115 Mwagomesy.sum 9*Spo wlX WA 99206'(509)024,920 <br /> Wit O 1900 Ovie8 Ave.,Swte LM+CwcoKL CA 94524•J510)685-M a 150b5 S w Sogm PSM Sudo 11Q•Pbovid,OR OM-(M3)624-MM <br /> panyNanla `"� Projed Noma. 4 <br /> AWA Address: 3l r Ar, 170 UM)CAL Project Manager ftff IV r <br /> City. G ,o State' Zip Coder q 56 7a Release 0 6 -7 767 1 £ <br /> T e. <br /> �-' FAX ti. ffd 631-1 17 SfteA. G65 pal,o ' &P. � Gly fe 03 <br /> iIwn <br /> Re To. ( fe # A1 <br /> '5 5.ampler o ! Data W Lovol to CkLovef G Q LovOI B f.evei A <br /> a <br /> Turnaround WjownlfiDays 0 5 Work Days U 3 Work Days U Drinlang Water Ansel ees ested <br /> Time. ❑2 Work pas U i Work Qa U 2-6 Hours 0 Waste Water <br /> CODE: ❑ mim 0 Detect. 4 Eval Q Rented 0 Damm! 0 aGsLn ❑ Other <br /> Ment Date/Time Matrix 9 of Cant Laboratory J <br /> Sample 10 Sampled Deese Cont. Type Sample A Comments <br /> , <br />� �• � X171 D `'� <br /> 4. <br /> m <br /> 5 } <br /> 7 <br /> 8 <br /> 9 <br /> 0 <br /> 10. � <br /> a1 <br /> Rellnqutshed By: bate 1W4661 Time YW Rece=&JEM&M Time tic J <br /> CD <br /> Relinquished By. Data: Time. Received aT Date Tinle <br /> FWngufshed NG I fate 171m. I HeoeWed Bv Lab, I Date, 1 <br /> Were Samples Received In Good Cond[gon?0 Yos U No Samptos on Ice? (3 Yes D No Methodof Shipment Hage—of, . <br /> To be completed upon receipi of report <br /> • i] Were the analyses requested on the Cham of Custody reported? 4 Yes❑No If no,what analyses am sliil naeded? -- <br /> 2) Was the report issued whin the requested tumeround time) ❑Yes O talo II nay what was the turnaround tarn? <br /> ApprcwWby: Signature - _ Company' I -Date -- <br />