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80 Chesapeake Drive•Redwood City,CA •(415)364-9600 ❑ 18939 120th Ave,N E,Suite 101•Bothell,WA 96011•(206)481-92W <br /> U-4b C R L , ❑ 819 Striker Ave,Suite 8•Sacramento,CA 95834•(9 16)921-9600 ❑ East i 1115 Montgomery,Suite 8•Spokane,WA 99206•(509)924-9200 <br /> ❑ 1900 Bates Ave,Suite LM•Concord,CA 94520•(510)696-9600 O 15055 S W Sequoia Pkwy,Sufte 110•Portland,OR 97222•(503)624-9800 <br /> r <br /> Company Name Protect Name {n �c Core. <br /> Address 0 2 S wc� ��,c� Lf U UNOCAL Project Manager <br /> City �, State Zip Code Release# / tr _ p, (j <br /> m <br /> Telephone Ol' ��/ - ,5?�U FAX# Site# t jj <br /> Report To' Sam ler de.Jl 00 Data Level A (standard) ❑ Level B ❑ Level C ❑ Level'D <br /> Turnaround 10 Working Das o <br /> 9 Y ❑ 2 Working Days ❑ Drinking Water Anal ses Re nested <br /> Time. ❑ 5 Working Days ❑24 Hours ❑ Waste Water <br /> ❑ 3 Working Days ❑2-8 Hours q L) ❑ Other �� k <br /> Client Datettime Matrix # of Cont Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> t rg- f-1-qq vs WL-k& 3 g A o <br /> 2 - 1305' 3 _ L <br /> 3 <br /> 4 0 <br /> m <br /> g } <br /> 6 <br /> 7 <br /> 8 <br /> 9, <br /> 10 o <br /> i <br /> Relinquished By Date -L-9 Time 7"y Received Bt2Zf�� Date Time <br /> D ` <br /> Relinquished B Date y Time t {/�� Received By Date <br /> Reiin u)shed B a Received By Lab" Date --Mme <br /> Were Samples Received in Good Condition7le4es❑No Samples on Ice? Yes C]No Method of Shipment Mage of-r <br /> a be comp[eled upon receipt 6f report <br /> Were the analyses requested on the Chain of Custody reported? 0 Yes❑No If no, what analyses are still needed? <br /> as the report Issued within the requestel turnaround time? ©Yes❑ No If no, what was the turnaround time? <br /> Signature Company <br /> -- <br />