Laserfiche WebLink
r , <br /> O 660 Chesapeake ❑rive • Redwood Ciry, CA 94063 • (415) 364 -9600 (1 18939 120th Ave.. N.E ., Suite 101 • Bothell , WA 96011 • (206) 491 -9200 <br /> v J <br /> Cl 819 Striker Ave.. Suite 6 • Sacramento, CA 95634 • (916) 921 -9600 ❑ m <br /> East 11115 Montgomery, Su4a e • Spokane, WA 99206 • (509) 924-9200 N <br /> UNOCAL <br /> O 404 N. Wgel Lane • Walnut Creek, CA 94598 • (510) 9116-9600 ❑ 15056 SW, Sequoia PMW, SuBe 110 • Portland OR 972224 (503) 624.0800 <br /> m <br /> " Consultant Company: 3 [ Project Name: <br /> 31H <br /> Address: /r2 B J S is E 55 at to DV ,% e S4, � C qua UNOCAL Project Manager: C;V R .e l Ste .\ <br /> E City: ItLCreaAle(t a State: C 4 Zap Code: FSgm27 AFE #: t ziz t63 -A <br /> 100016 ar On Y 4 G+ <br /> Telephone: %6) 36 " /?80 FAX # fd 36 -11 F Site #, Clty, Stale : a A ,1~ s m <br /> 9 <br /> Re " ortTo: 0 ie� rar <br /> cc Data; b Level D (sta O Level C ❑ Level B ❑ Level A <br /> . /s _ rs •.a' r <br /> g Turnaround 0 10 Work Das U 5 Wo1kDas ❑ 3 Work Days y y Y O Drinking Water VralvsesReQuestedl <br /> Time: O 2 Work Das 1 Work Day ❑ 2.8 Hours ❑ Waste Water of A <br /> CODE: ❑ Misc. 0 Detect. Eval. ❑ Rented, ❑ Demol. O Closure ❑ Other <br /> Client Daleffime Matrix # of ConL Laboratory <br /> Sample I.D. Sampled Desc. Cont. Type Sample k Comments <br /> I 8 kwS3 5V0IQ0y*0Dx <br /> 2. S {l 1 -ff:m / y'DS 1 <br /> n a. g p g -IC078(/'G a 7 f <br /> 4. <br /> H 5• z <br /> ¢ Agg <br /> Z e' trt <br /> ¢ 74 <br /> z <br /> ZI 8. <br /> WD <br /> N 9. <br /> 10, <br /> In Relinquished By: / Date: ;4r 9f Time: .5 / Received 8 : Dale: Time: <br /> m <br /> Relinquished By: Date: tree: Received EXI Date: Time : a, <br /> Relin ui shed B . Dae: Time: 40R e D 0e���7 Time: ISr�✓ <br /> Were Samples Received in Good Condition? ❑ Yes O No Samples on Ice Yes O No Method of Shipment s f;Co IZ Page of _ <br /> To be completed upon receipt of report: <br /> 1 ) Were the analyses requested on the Chain of Custody reported? ❑ Yes O No I1 no, what analyses are still needed ? <br /> 2) Was the report issued within the requested turnaround time? O Yes O No IF no, what was the turnaround time? c <br /> Approved by: Signature: Company: Date: a <br />