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1* 0680 Chesapeake Drive-Redwood City CA 940110 5)364 9600 E) 18939 120th Ave,N E, Suite 101 -Bothell,WA 98011 -(2*1 9200 UNOCAL NO AL r ❑ 819 Striker Ave,Suite 8-Sacramento,CA 95834-(916)921-9600 ❑ East 11115 Montgomery, Suite B-Spokane WA 99206-(509)924 9200 . ❑ 404 N Wiget Lane-Walnut Creek,CA 94598-(510)988 9600 ❑ 15055 S W Sequoia Pkwy,Suite 110-Portland OR 97222-(503)624 9800 Consultant Company 5-,Cc fZ Project Name C,r e-1 Q K S ferF Q o, 8G 7 j Address 17IC2 Qu-sr ne Ss Park /0 0 UNOCAL Project Manager iA City So:cr4M tti4`a State C!4 Zip Code '7S-8,27 AFE # f a Telephone 91� 3611 ( FAX# �Y�6 3-q-1 F Site #, City, State g ib k+�-rnCa^ Armon t (D o U Re flit To �r O S+ Se n ko Sam ler �� n QC Data J6 Level D (Standard) ❑ Level C ❑ Level B ❑ Level A Turnaround 1:110 Work Days ❑ 5 Work Days 3 Work Days Drinking Water JAnalyses Re uested Time ❑ 2 Work Das 1 Work Da ❑ 2-8 Hours ❑ Waste Water1 CODE ❑ Misc ❑ Detect 541val ❑ Remed ❑ Demol ❑ Closure �( Other Client Date/Time Matrix #of Cont Laboratory Sample I D Sampled Desc Cont Type Sample # Comments I Plr S-N-9s (/'�S So i 1 gra SS J'3(6131 bus o 2 PL -nom I/:a9 l .�1 Dry 3 P 1--3` s/1-5�! /r' 36 a� 5 PL-H 6 f L - 7 9 P G - 3 10 L Relinquished By Date 5-1, /-p Time �S S' Received C DatTime a>' Relinquished By Date 5 Time 1730 Received B Date Time L RelmquishedBv I Date ITime I Received By_Lab bateL Time Were Samples Received in Good Condition?�Yes❑No Samples on Ice?yYes❑ No Method of Shipment --5PC-Uy i1f Page I of I To be completed upon receipt of report 1) Were the analyses requested on the Chain of Custody reported? ❑Yes❑ No If no, what analyses are still needed? 2) Was the report Issued within the requested turnaround time? ❑Yes J No If no, what was the turnaround time? Approved by ___ ___ _ Signature _ _.Company _ Date