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11610 Chesapooka Dm e•Rodkood City,CA I'll i5l W 9604 D 189N 1249h Ave,N F,Sude i01*Bothell,WA Mi 1'{2 <br /> + 24-0200 <br /> '�,816 Sutker Ave,Suite 0-Sacmrnenlo,CA 85634•(016)0 gzt 9640 i� >Eas! 11115 anrr�ampkv�.y b�►1ejdia g 70■■podlarid,OR 972U{(503)62494 <br /> UNOCAL a 1944 Batas Ave.,S+nie LM•CWCOrd,CA 94520•(514)686-S60 a 15055 S <br /> CeyNarne '�'l. R-- Rpt N ANG. Project Name 'Pcrv4�r ulnoeal 1428511 154-ac.1AV. <br /> Company n <br /> Address 31Lra 0040 CAMP 4Rly& S�'�G l7f� UNOCAL Rro�eCt Manager1c,k Stil.�l��cs�n <br /> City RILW140 00900" State G <br /> Zip Code 966 70 Releaso H: <br /> s=AX# (41043[-- V17 Site # BS C�,to1v -1 t # tibio 77O� r23 a <br /> Tele hone (�1 t6 `8 t _ ❑ Levet A <br /> [ AVIU R�aG Sam ler. D'6 RAD` QC Data- Level D (siondora) Q Level0 C7 Level B � <br /> Re art To Anal gesRequssled <br /> TuFrrraroulld J0 Work pays X15 Work Days ❑ 3 Werk Days Cl Drinking Water <br /> Time. Q 2 Work Das 17 1 Waris Da Q 2-t3 NoUrs YVasie Water <br /> CODF-: Q Mise �] Detscl Pf Eval 0 Remed ❑ Demol.Q Closure Q Other <br /> 0 <br /> Client Dateffime Matrix #oI ContpLaboratory r�� ��,� Comments <br /> Sarnplo I D. Sampiod pest. Cont Tye Sample N ' <br /> F h]ee9 ° <br /> d' v►a tJ'--y1 '3 C> <br /> n.- <br /> i Zl -6 G1 i <br /> ti.yLt —7-1 i zt n t� 10, 7,4 <br /> e N + i� <br /> � ,�aJ -Zi -�4S lb3ilSc� <br /> I <br /> 8 ��,.�-x� ��a+ tt In' Sze A � <br /> 10 A411N -XZ-600 <br /> Date 3 v Tlm <br /> e <br /> •3itrlo 3ito rz:37s_ Received B cu <br /> Relinquished By' .i - []ate. <br /> Date 81.DT Time t;1r2° Received c aat03 e- <br /> ime �09_ <br /> Lf <br /> Relinquished By <br /> Received, La . � ate. ime, <br /> Kelm uished By. Date. <br /> fit— <br /> Were Samples Received in G od Condition')�i Yes Q too Samples on Ica? �Yes a No Method of Sbipmonl_ �� t— Page�of <br /> To b©completed upon recelpt of report no,wilat analyses <br /> 1) Were ihg analyses requested an the Ch end lurnaround time? D Ya Q NYes� if no,what was the#urea oun[i(time? ed? <br /> 2) Was Ilse report issued wither}the request Company _ Date. <br /> Aoofaved by Signature: <br />