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❑985 Jarvis oilm-6iorgan H'll,CA 950037+(408)776-9000•FAX(A . ❑ 18939 sloth Ave.N E Suite 101•Bothell,WA 96011,•(200)481-13200 <br /> U00 <br /> NO&L tnker Ave Suite S•Sacramento,CA 95834•(916)921-8 ❑East 11115 Montgomery,Suds8•Spokane,WA 99206.(509) <br /> ❑419 5 U 15455 S W Soquota p",suite 110■F11008011,OR 9/222•(503 24-9600 <br /> L!404 N VJrget Lana•;"lalnut Crack,CA 94596•(925)999 9fi0i7 <br /> U 1455 MC1)OWe11 Blvd Noah,suite D•Petaluma,CA 94954•(707)792-1865 GLOBAL Ii)$ TOGO 7 700123 <br /> Project Name, Itormer Unocal #?854 _ <br /> Consultant Company Gertler-.K =an )nr.. -- <br /> UNDCA�traject Manager(required)• Dick Nickerson 91_6-71�i-32 5 <br /> Address _ _ 6747 Sierra Gaunt Suite 1 -- - <br /> State Zip Code 945AR AFE #. <br /> City, DubUrs - CA _ c <br /> 012859, ib6S pacif:lc_Avenua, $toCktrin, GR �' <br /> FAX # 925-551-7899 Site#. Clty.State: Sj <br /> Telephone• 925--551--7555 � Q Level C ❑Laval 13 U level A <br /> Sarnplor 1,,., cc Data U Level 0 (Standard) G <br /> Report To: net-,rina I.. Harding Analyses Requested iF. <br /> Turnaround ❑ 10 Work DaYs U 5 Work Days V3 Work Days ❑Dunking Water <br /> Time: Q 2 Work bays ❑ 1Work Day V 2-8 Hours ❑waste WaterID <br /> y <br /> C <br /> ❑ Other �4 U <br /> CODE, U MISC. []DC1CC1 ❑Eva1 O Reined ❑E]eMGI ❑00 re <br /> -Wal nx <br /> �- Communis <br /> Ctiont Oat Mme Dose. 8 of Cont Cont Type Laboratory <br /> # �� ` <br /> Sample 10 Sampled Dose. <br /> 1. -- �-�-7-0 <br /> bt1 V V A h - - 11x7 s-ti1Te I% v <br /> �.`�i b'} VOJ� LAW,, 1.21)Ce1, <br /> 2 V[� '03 LDH <br /> 3. M W- •�Y eS a - <br /> 7i,v- -2Y o3 J� V`o - - - <br /> - Up -� x Y <br /> w4 alp• 1>'sa w -- <br /> VOA <br /> 9 rylw- v :z-M(-6 is t4/ 3 V0 -:0-C-1 ---- - - <br /> *3 VO4 --i U I <br /> Data? 03 Time- )000 Received By. Dato. Time. •C� :: <br /> Relinquished By. _ _ 3:Relinquished By Data ��(� rne <br /> d Received By. Date:3 3 &3Tlrne TI; <br /> Tlme <br /> Relinquished 13y1P I <br /> �,,..� Date � 3 b� 'limo• � 1 3� RecoTved Bye � Bate . � I <br /> ? e p aple5 4r1 tCe7 Ayes O iia thud of Shl rfren <br /> Were Samples Recelvsd in Good Condltinn <br /> To be completed upon receipt of report* � <br /> J)Were the anatyses requested on the Ch Find ou Custody+ems 7 ed?❑YQ YoQ Na No If no, o, waas analthe yses <br /> Still rne7st}? <br /> 2)Was tits report Issued within the reglrest G � Data. 3 2f 03 <br /> Approued by. f L1`S Signature Company_ -- - <br />