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660 Chesapeake Drive•Redwood City,CA 94063•( 64-9600 ❑ 18939120th Ave,N E,Suite 101•Bothell,WA 98011•(206)4a�0 <br /> U N @R + ❑ 819 Striker Ave,Suite e•Sacramento,CA 95834. 921-9600 ❑ East 1 i 115 Montgomery,Suite B•Spokane,WA 99206•(509)924-9200 <br /> O L ❑ 1900 Bates Ave . • <br /> Suite LM Concord,CA 94520 (510)686-9600 ❑ 15055 S W Sequda Pkwy,Suite 110•Portland,OR 97222•(503)624-9800 <br /> Company Name- P ~ f Lg� Protect Name 31 p —0 <br /> Address Z S UNOCAL Project Manager BD b v <br /> City State Zip Code Release# <br /> Telephone d ^�� � ,��}� FAX Site# �s' <br /> ' MAM <br /> E5Re ort To Sam ler Cy G ®�•cA- <br /> QC Data Level A Standard ❑ Level B ❑ Level C ❑ Levet D c <br /> Turnaround 0-14 Working Days ❑ 2 Wo in Da °- <br /> 9 Ys Drinking Water Anal ses Re wasted <br /> Time: ❑ 5 Working Days ❑24 Hours ❑ Waste Water }� <br /> ❑ 3 Working Days ❑ 2-g Hours 'NQ933 ❑ Other <br /> k <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# /Q Comments <br /> 0 o <br /> 4 MW 01 a <br /> 6. 20 r <br /> 7 W <br /> f3 O � 41, — <br /> 9 <br /> 10 0 <br /> B <br /> 0 <br /> Relinquished By: Date 7`� Time 10 Received Date? Time. <br /> W <br /> Relinquished B Date* lg Time d-`4 Receive Date �� ime, /a;4��f � <br /> 3.1 <br /> Rehn wished 8 6c�Dat /4� Time: ��- S6 Received B La / Date 71131%ime <br /> Vere Samples Received n Goad Condition 7�(,Yes O No Samples on Ice?A Yes O No Method of Shipment Page�of_( <br /> 1kasupon receipt o report <br /> e analyses requested on the Chain of Custody reported? 0 Yes O No If no,what analyses are still needed? <br /> report Issued within the requested tumaround time? 0 Yes 0 No If no, what was the turnaround time? <br /> Signature Company: Date- <br />