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• �� U M Chesapeake Dave•ReetivoW city,CA 94063•(954) ❑ 16r339 120th Ave,N E.Suite 101+Bothell,WA 98011UNdt •(206} 44 <br /> ❑819 Straker Ave,Suite a•Sacrarnonto,CA 95834•(916)921rB O f=ast It 115 Monry,tgomeSuite 8+Spokane.WA 99200•(5R>0) 92011 <br /> U 404 N Vigo]Lane•Walnut Creek,GA 94598•(925)968 9600 t:]1 so5s s w Sequoia Pkwy,State 110•Portland,OR 97222•(543)67-4-19800 <br /> ❑1455 McDowell Blvd North.Suite D•Petaluma,CA 94954•(707)792-18a GLOBAL ID$ 70607700123 <br /> Consultant Company Gettler.�Ryan Inc. Project Flame: Former Unocal #2859 <br /> _—_-- _ <br /> Address 6747 Sierra Court, Suite J UNOCAL P(ojocl Manager. Nick Nickerson 916--714--3205 _ <br /> City Dahlin State: OA Zip Code 44568 AFE # <br /> Telephone: 925-551-7555 FAX 0- 925-551-7899 Site it. City, State.02859, 1665 Pacific Ave. , Stockton, CA _ <br /> Report TO Deanna L. Hardin Sampler. ,f � %,%A f 0-r. OC Bata Leval O {standard) C3Level C ❑ Levol B ❑ Level A <br /> Turnaround10 Work Days ❑5 Work bays Q 3 Work Days U DrinlGng Water Analyses Requested SM <br /> Time U 2 Work Days ❑ Mork Day ❑2.8 Hours ;I !7 �p � <br /> Waste Water � <br /> CODE: U%sc Q Dolect CIEW 0 Remed. U Demot D Closure d Other <br /> Client Date/Time Malnx 0 of Cont Laboratory �.�7•r t7 Comments <br /> Sample I D Sampled Dese. Cont Type Sample# �( rh <br /> 1 JG!tJ f ?. 49 -t.. 11 Z6 5 Y'D r a <br /> 7 Oa}'c-MTNE, <br /> Rh.A,DIP.ErR _ n <br /> f f 1 TANIF.t,2DCA. <br /> 3 �y <br /> 81 d irr ` k r X CDIi _ <br /> 0 <br /> rt } <br /> 6 _ <br /> 6. — - <br /> 7. <br /> 8 - o <br /> - o <br /> f0 <br /> i v , <br /> Relinquished By Dater fl ,,Z -ime ( 3 6 Reoelved By Date Time <br /> Relinquished By. Date Time. Recofved By. Date, Tirmo' <br /> Relinqufshed By Dale Time- Received By tab' L Date Time' <br /> Nora Samples Received in Good Conddlrrn? es Cl No Samples onice? O Nes ❑No Method o1 Shipment f� Page of <br /> I <br /> ,To be completed upon receipt of(eport, <br /> 1) Were the analyses requested on tho Chain of Custody reported? ❑Yoe a No It no,what anatysos are still(leeded? <br /> 2) Was tho roport issued within the rlequestad turnaround time? ❑Yes ❑No If no,what was the turnaround time? <br /> Anpmoved K&Cry . Siflrta�i�s . Company; ''2 <br />