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LJ 680 Chesapeake Drive a Redwood City, CA 9.. - (415) 364-9600 U 18939 120th Ave., N.E., Suite 101 a Bothell, WA 9801 )6).481-9200 <br />UNOCAL U 819 Striker Ave., Suite 8 * Sacramento, CA 95834 e (916) 921-9600 Ll East 11115 Montgomery, Suite B a Spokane, WA 99206 - (509) 924-9200 <br />U 1900 Bates Ave., Suite LM o Concord, CA 94520 * (510) 686-9600 U 15055 S.W. Sequoia Pkwy, Suite 110 - Portland, OR 97222 - (503) 624-9800 <br />Company Name: Project Name <br />A4 4w <br />Address: 6 NOCAL Project Manager: <br />)Sao' <br />City: State: Zip Code: 0)6670 Release #: <br />i eiepnOne: (-jj 6 1 6 -s u -.A V 61 FAX #: <br />#: <br />PC.,, <br />Re ort To: /k-% <br />19 <br />Sam <br />Lite <br />QC Data: Level <br />Level <br />Turnaround L11 10 Work Days U 5 Work Days <br />LJ 3 Work Days <br />❑ Drinking Water <br />Time: LJI 2 Work Days LJ 1 Work Day <br />Ll 2-8 Hours <br />L11 Waste Water <br />CODE: U misc. I Detect. L11 Eval. L11 Remed. <br />Ll Demol. L) Closure L11 Other <br />Client DatelTime Matrix <br /># of Cont. <br />Laboratory <br />Cont.t. <br />Sample I.D. Sampled Desc. Type <br />- <br />Sample # <br />1. L4 -7 2-796 <br />ILA r -1c, X <br />2-s. <br />I <br />I I L4091 <br />-- <br />n -s-9 <br />1410 <br />4. <br />L <br />5L�- �2- I �-S <br />eta <br />6t <br />I Lit <br />D (Standard) Ll Level C Ll Level B Ll Level A <br />jAnalyses Requested <br />Comments <br />Relinquished By: <br />Relinquished By/71 <br />Date: <br />Were Samples Received in Good Condition? )(Yes U No <br />Time: I-Voto... Received <br />Time: Received <br />Samples on Ice? A -Yes U No <br />of Shi <br />W• <br />1'7197 <br />Time: l <br />Page a?of _2 <br />To be completed upon receipt of report: <br />1) Were the analyses requested on the Chain of Custody reported? U 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 If no, what was the turnaround time? <br />Approved by: Signature: Company: Date: <br />