Laserfiche WebLink
4 6680 Chesapeake Drive•Redwood Cily,CA 940415)364 9600 U 18939 1201h Ave,N E,Suite 101 •Bothell,WA 98011 •0481-9200 <br /> 4 dry" CAL IJ 819 Striker Ave,Suite 8•Sacramento,CA 95834•(916)921 9600 U Easl 11 1 15 Montgomery,Suite B•Spokane WA 99206•(509)924 9200 - ! <br /> 'w U 404 N Wiget Lane•Walnut Creek,CA 94598•(510)988-9600 IJ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503)624 9800 <br /> rf <br /> Consultant Company Project Name "2 <br /> . ) w - Cf ll n SA <br /> Address Q'Q6 C-AF1T tko. L_ 6 UNOCAL Project Manager <br /> City C <br /> State ( Zip Code ti C) AFE; # <br /> Telephone (} uk ` - �,fZj FAX # �i r ��` Site #, City, State ` r T <br /> U <br /> Report To PW104- [_C-.,4A0( Sam ler ,t t ) QC Data--d Level D (Standard) J Level C ❑ Level B ❑ Level A <br /> i I TGrrf4round 200 Work Days ❑ 5 Work Days ❑ 3 Work Days a. <br /> ❑ bunking Water Analyses Re uested ��O <br /> Time ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours 1_1 Waste Water <br /> 2A e <br /> CODE' I„] Mlsc ❑ Detect ❑ Eval -Remed IJ Demol IJ Closure �2'0ther <br /> Client Date/Time Matrix #of Cont <br /> Laboratory <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> f 1I N -- T-7;r(v7, 6 142U /\f{1 ] o <br /> 2 p �n <br /> 3 m <br /> 4 <br /> QJ <br /> 7 <br /> 8 <br /> I <br /> 9 <br /> Vo Z <br /> 0 <br /> T <br /> r, L <br /> A 11 O <br /> Relinquished By �`� �� c�4 Date �.� Timetrr` �`'� Received B I <br /> Date�i I l� Time , <br /> Relinquished By l� �'" Dater f��� Time r�Sc.s Received B '�� ' <br /> �'" d`` pate w 7 rt Time l G <br /> Relinquished t3 1 Date w - [Time I Received By Labr I Jr Date " Time <br /> Were Samples Received in Good Coni ton?IJ Yes Q No Samples on Ice? iJ Yes IJ No Method of Shipment Page_of <br /> 9 <br /> '4 To Be completed upon receipt of report <br /> T 1) Were the analyses requested on the Chain of Custody reported? IJ Yes+_J No If no, what analyses are stilt needed? <br /> a 2) Was the report issued within the requested turnaround time? IJ Yes 1.1 No If no, what was the turnaround time? <br /> Approved by _ __ ___ Signature _ _ Company _ _ _ _ _ _ -Dale <br />