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6 <br /> 80 Chesapeake Drive•Redwood City,CA 940(415)364-9600 L] 18939 120th Ave,N E,Suite 101 •Bothell,WA 98011 •1 481 9200 <br /> U �� 0 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921 9600 0 East 11115 Montgomery,Suite B•Spokane,WA 99206•(509)924 9200 <br /> 0 404 N Wfget Lane•Walnut Creek,CA 94598•(510)988-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)624 9800 <br /> Consultant Company FtGE�v'l'0���,L r ,W Project Name O— D <br /> Address��� S'- �f`� UNOCAL Project Manager <br /> f <br /> City State CAZip Code ,S� b AFF# <br /> qL c <br /> Telephone FAX# Site#, City, State �� <br /> U <br /> Report To �N� Sam ler ' <br /> r� QC Data AMvel D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> c <br /> Turnaround J 6 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water [Analyses.Requested a <br /> Time. ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE- ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demol ❑ Closure ❑ Other <br /> Client Date/Time Matrix #of Cont Laboratory <br /> Sample i D Sampled Desc Cont Type Sample# Comments <br /> f {�l� Ifo �� A- -fit 0 <br /> 0 <br /> 2 <br /> 3 all <br /> J <br /> 4 3 <br /> 0 <br /> 5 m <br /> s <br /> 7 •�. <br /> l" 113 <br /> 8 <br /> 9 <br /> 10 <br /> 0 <br /> ro <br /> a <br /> Relinquished By Date� Time Received B Dat X/�- Time J <br /> A <br /> Relinquished By 2 <br /> Date `f�1 I Time �� Received B ( y Date Time foj-D <br /> , �r <br /> Relinquished Blivzr Date 4-1f0-e6 Time IVB Received B Lab Date[r O (oo ITime <br /> Were Samples Received in Good Condition?❑Yes❑ No Samples on Ice? ❑Yes O No Met Shipment Page of_ <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? Yes Q No If no, what analyses are still needed? <br /> 2) Was the>eDOrt issued within the requested turnaround time? IQs O qo If no, what was the turnarop9d tirrae? <br /> d �� <br />