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O � � ❑685 Jams Dive■M,drgan Hill,CA 85437+(408)776-4690 a FAX 1408)782 63 r <br /> 08 o 18939124th Ave,N E Sute 101 •Bothell,WA 98011•(208)481-9200 - <br /> %wr <br /> d 819 Stnker Ave,Strde 8.Sacramento,FCA 95834•(Sia)get-9600 O East i I 115 Montgoenery,Su to B•Spokane,WA 99206•(50E1)324 9200 <br /> UND 404 N Wiget Lane•Wafnut Creek,CA 94598 11 f;(026)888 8600 'O 15055 S W Sequooa Pkvq,Sults 114 a Portland,OR 972?2■(504}624 98M <br /> O 1455 McDoeelI Blvd {forth, Su de D•FH¢l[[luMR.CA 94954•(707)702106 CLf1t1AI, ID$ 70607700123 <br /> Consultant CompanyGett:iPr•Ryan Tnc, �; II l Protect Name Fnrr'teY IIuocAl X2559 _ - <br /> Addross• - II UNOCAL Prosect Manager(requlred) Nick Nickerson 916 714-3205 <br /> _ 6747 Sierra Gouxt, Suite 1 _ _ <br /> City Itubl»� State' CA Zip Code 94568 AFE # _ <br /> 7olQphone FAX#• �� II - <br /> Ile #, City, State: 12859, 1665 Pacific Avenue. Stockton, CA ai <br /> 925-551-7555 125„ ��1-7899 _ - <br /> Ro art To Sampler: I; II , QC Data , Level D(standard ❑Level C - ❑Leval B u level A <br /> P Deanna L. Hardin I p r+� 14G1zitaA,-,, I _ x <br /> Requested C <br /> Turnaround :)10 Work Days J 5 Work Days i�Wollc Days O Dnnlang Water � Acral aos q uested n. <br /> Time: U 2 Work Oays O 1 Mork Day 9 2-8`HoursQ Waste Water j - <br /> CODE: ❑misc Q Detect ❑ Eval ❑Reined U Demo! illi Closur+o U 0Ihor <br /> n It 0 <br /> Client Datefffinel Matrix #of '% Cont Laboratorytik' rig 0� - Comments <br /> Sample I L. - Sampled Desc Gant Type Sample 4 ` �! <br /> � Y-6)� `f �- .J VII 36-26 <br /> [ 7Qnv'S-Mlril-. <br /> 2 - fy? -147-03 Ill W Z5 i' —� _ -1 HA,DIPS,CrBE, <br /> I p — TA dr,1,2iX A, <br /> 3. r! PA-7,�63 Y/� �--� _ EDB _ S <br /> 0 <br /> IAI- 1,5' -;17-03 16 1-10 LJ 57 i V 6I X, <br /> Vd <br /> 9 j`►`1 (Al- 11 �L 2.Y 43 I ro') �.+� i (l I � <br /> a <br /> v6l� 11 <br /> Y Y <br /> Relinquished By ��c.� Date 3-1 IIlv3 �Tlme:]Grip Received By ��' ---- Date ,��� {� Time <br /> f <br /> Relinquished By DateG3 ITlme./l_C/a Received By Date, 3 Time 11.` 11 <br /> II I <br /> Halinqulshed By. Date-3 3 p-� Received By Date. Time <br /> Were Samples Recerved to Goad Condition o esYesY Li No SII amplos on I t r mend— Rage <br /> 7o be completed upon receipt of report - <br /> 1)Were the analyses requested on the Chain of Custody Deported? u Yes u No If no,what analyses are stl[I needed? <br /> 2)Walft report issued within the requested turnaround iimeij l]Y6S JWo If no,what was the turnaround time'? <br /> Approved q.T2100, t5ignallure. ompany <br />