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❑ 680 Chesapeake Drive-Redwood Cit 94063.1415)364-9600 L) 18939 1201h Ave, N E Suite to 1 -Bothell,W 11 -(206)481-92A0 <br /> co OCAL . 619 Straker Ave,Suite 9-Saaremento, 95934-(916)9211-9600 ❑ East 1114 5 Montgomery,Suite B P Spokane,W 206-(509)924 9200 <br /> I% x <br /> Rj ❑ 404 14 Wiget Lane-Walnut Creek,CA 94598-(510)988-9600 ❑ 15056 S W Sequoia Pkwy,Suite 110-Porlfand OR 97222-(503)624-9900 <br /> 1-1 <br /> Consultant Company S E C o i2 Protect Name <br /> m Address 9�/,2 8 vS;neS S P 0,�--t �OQ UNOCAL Project Manager t"�( �� S „ <br /> City 5,�, ra M �� o State �¢ Zip Code 9 -,fl AFE V- [ R t 6 3 <br /> Telephone ��� �G o(o .r•n ow ven u� <br /> C �� �f— j 8 o FAX# &116 OC y-/ 8 <br /> R ori To k Sam ler /� .�,( �o w/1 QC Data Ad" eves D Standard ❑Level C ❑ Level B ❑ Level A <br /> N Turnaround 10 Work bays ❑ 5 Work Days ❑ 3 Work days ❑ Drinking Water Anal ses R uested <br /> Time: ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours <br /> ❑ Waste Water <br /> CODE: ❑ Misc ❑ Detect Eval ❑ Remed ❑ Demoi ❑ Closure Other <br /> Client Datefrirne Matrix got Cont Laboratory Comments <br /> Sampla I D Sampled Desc Cont ,/T4ype Sample 0 r� (]� <br /> 1 PL ' �o s-lyr98 �d.� 501 I ✓ras5 <br /> 2 EV-71//d"/,g <br /> Cr3 Pi <br /> Ln <br /> 4 �w-3 <br /> U <br /> - <br /> }- r <br /> L -1 J/#"IY <br /> 7 <br /> Q <br /> o 8 <br /> u� 9 <br /> Cn <br /> 10 <br /> m <br /> Relinquished sy �Y � Date ! �/ Time /.Sr Received B - Date S- /r 'rime .� S <br /> 0) Relinqulshe�d By Date5A' V Time { 9G Received B Date Time <br /> Relinquished l3Date lime Received S Lab Da,( //5 <br /> Time l <br /> Were Samples Received 1n Good Conddlon? Yes O No Samples on Ice? /YesUNo Method of Shipment S1_r c.8 Page of <br /> To be completed upon receipt 01 report <br /> 1) Were the analyses requested on the Chain of Custody reported? l]Yes❑No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? ©Yes 0 No If no, what was the turnaround time? <br /> Approved by Signature Company Date <br />