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UN 09A L # U 819 Striker Ave,Suite 8•Sacramento, CA 958 16)921 9600 U East 11115 Monlgomery,Suite B•Spokane,WA 9920'6-(504 9200 9 <br /> ❑ 1900 Bales Ave,Suite LM•Concord,CA 94520• 510 <br /> { }686 96 00 U 15055 5 W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624 9800 <br /> Company Name <br /> f t, ~Y't�f Pro}ect Name r !lr c � - � ,� ,,r r, --� <br /> 1 Fkc ' ,i c i0, k J,ld "�,�{ ) �("11"( ), 'fir <br /> Address � )'-) UNOCAL Project Manager <br /> City V17J State { Zip Code F�r ( j Release## j ' c <br /> Telephone r,{`') r t �, f '`f /' -' ` m <br /> 7 �/ ! rf � FAX#t , / l Site#I - <br /> f U <br /> Report Td, f(k )C_. `(U t �' Sam ler ` . c i t i 1 ) \1 _V, <br /> � OC Data .❑ Level D (Standard) ❑ Level C ❑ Level B ❑ Leve! A <br /> Turnaround 5 Work Days ❑ 3 Work Days <br /> IJ Drinking Water lAnalyses Requested a <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: ❑ Mlsc ❑ Detect ❑ Fval L1 Remed ❑ Demol ❑ Closure ❑ Other '.-" <br /> Client Date/Time Matrix ##of Cont Laboratory > <br /> Sample I D Sampled Desc Cont Type Sample#t r,,V� Comments <br /> I� 1 p 0 <br /> i] <br /> 3 � <br /> 4 <br /> 0 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> O <br /> O <br /> Relinquished By Date �,iTime! `�� r t Received By Date Time <br /> v <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By I DateTime Recewed B Lair [ ' `, - bate f'l t,-t 4 Time -I-)f, <br /> Were Samples Received in Good Condition?J Yes C) No Samples on Ice? J Yes❑ No Method of Shipment Page—of <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? U Yes i.1 No If no, what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? U Yes I-1 No If no, what was the turnaround time? <br /> Ar,r,rn..nl1 <br />