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i <br /> U N AL U 680 Chesapeake Of -Redwood City,CA 94063-(650)36 0 U 113939 120th Ave,N E Suite 101 -Bothell,WA 98011 -(206) 200 <br /> Cl819 Striker Ave,Suite 8-Sacramento CA 95834-(916)921 O East 11115 Montgomery,Suite B-Spokane,WA 992061,(504 9200 • <br /> ❑404 N Wiget Lane-Walnut Creek CA 94598-(925)988 9600 C 15055 S W Sequoia Pkwy,Suite 110•Portland OR 97222•(503)624-9800 <br /> L]1455 McDowell Blvd North,Suite 0-Petaluma,CA 94954•(707)792 1865 ' <br /> Consultant Company 6iol 4 a.1� 1r7e -W)0"zF60 Sy gs Project Name 2-SS <br /> Address C7V4 S)sfla Courf sk11¢- J UNOCAL Project Manager Me. <br /> City ib-4 sl-„ State C� Zip Code 7�gSrG g AFE # <br /> Telephone ItS-) r'S1- SSS FAX t Lr��r --� l Site #, City, State /66 ;01 CL�,� Fc a. <br /> Report To �. Sampler n OC Data Level D (Standard) ElLevel C ❑Level B ❑Level A <br /> x <br /> Turnaround ❑ 10 Work Days ❑5 Work Days 0 3 Work Days ❑ Drinking Water Analyses Requested a <br /> Time ❑ 2 Work Days ❑ 1 Work Day U 2 8 Hours Waste Water �fi <br /> CODE' ❑Misc ❑Detect U Eva[ U Remed ❑Demol 0 Closure ❑Other <br /> Client Date/Time Matrix # of Cont Laboratory Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 78- C B I°) U <br /> Vv�s Q <br /> 2 MW. <br /> 3 W- T Ot�hi" 4 3 -c , <br /> 4 <br /> 5 Pik, <br /> 7 <br /> 8 <br /> 9 0 <br /> m <br /> 10 <br /> m <br /> Relinquished By Date 8`I Timet, Received By Date ��19c_ Time YACAj <br /> v <br /> Relinquished By Date 0120h Time 0 Received By Date Time o Q <br /> Relinquished By L,/� Date �, Time1 :2 pD Received By Lab I w G D�te � Time /7'00 <br /> Were Samples Received in Good Condition? U Yes U No Samples on Ice? 0 Yes U No Method of Shipment Page_of <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested do the Chain of Custody reported? ❑Yes U No If no, what analyses are still needed? <br /> 2)Was the report issued within the requested turnaround time? U Yes U No It no, what was the turnaround time? <br /> Approved by Signature Company Date <br />