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Tnr*T*'� 76 <br />❑ 680 Chesapeake Drive • Redwood City, CA 94063 • (415) 364-9600 ❑ 18939 120th Ave., N.E., Suite 101 • Bothell, WA 98011 • (206) 481-9200 <br />X819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 ❑ East 11115 Montgomery, Suite B • Spokane, WA 99206 • (509) 924-9200 <br />❑ 1900 Bates Ave., Suite LM • Concord, CA 94520 • (510) 686-9600 ' ❑ 15055 S.W. Sequoia Pkwy, Suite 110 • Portland, OR 97222 • (503) 624-9800 <br />Company Name: <br />Project Name:11'j �;,� Srv",L'�0=, <br />Address: 7 C�vt�% <br />L �.` �?�_ �2tiG' <br />UNOCAL Project Manager: � ?a <br />City: c; � c%c. ^e <br />State: ` ,�° Zip Code: 9.; v i O- <br />Release #: <br />Telephone: (�_S �- 2 `aS <br />e FAX #: � � r'.5 Ute` <br />Site #: `j 0 <br />Re ort To: i v l^,� <br />Sam ler: A1ra;\1ic.rn 'S,z,. <br />QC Data: Level D (Standard) ❑ Level C ❑ Level B ❑Level A <br />Relinquished By: <br />Relinquished By: <br />Date: <br />Date: (Time: <br />Received <br />Received <br />0 <br />e <br />FUR <br />Were Samples Received in Good Condition?Yes ❑ No Samples on Ice?Yes ❑ No Method of S <br />Date: <br />To be completed upon receipt of report: <br />1) Were the analyses requested on the Chain of Custody reported? ❑ Yes ❑ No If no, what analyses are still needed? - <br />2) Was the report issued within the requested turnaround time? ❑ Yes ❑ No If no, what was the turnaround time? <br />Approved by: ___ Signature: Company: <br />Comments <br />Page A- of <br />C12 - <br />Date: <br />Ca <br />0 <br />.0 <br />Ca <br />J <br />0 <br />a� <br />% <br />Turnaround ❑ 10 Work Days <br />s <br />❑ 3 Work Days <br />❑ Drinking <br />Water <br />Time: 2 Work Das Work Da <br />!U:1 <br />❑ 2-8 Hours❑ <br />Waste Water <br />CODE: ❑ Misc. Detect. ❑ Eval. <br />❑ Remed. <br />❑ Demol. ❑ Closure ❑ Other <br />Client Date/Time <br />Matrix <br /># of Cont. <br />Laboratory <br />1 <br />'(10 <br />Sample I.D. Sampled <br />Desc. Cont. Type <br />Sample # <br />`I b <br />1 <br />J <br />A <br />X <br />07b <br />r <br />4. - D )b 3d <br />5.5! Z.-- A v 3� <br />t <br />X <br />6. �2_ f5 161-10 <br />► <br />x <br />7. 2-L ®LIQ <br />, <br />�, <br />x <br />8.�Pz. — D —b50 <br />) <br />D <br />x 7L <br />95P3- osv <br />' <br />A <br />x <br />Relinquished By: <br />Relinquished By: <br />Date: <br />Date: (Time: <br />Received <br />Received <br />0 <br />e <br />FUR <br />Were Samples Received in Good Condition?Yes ❑ No Samples on Ice?Yes ❑ No Method of S <br />Date: <br />To be completed upon receipt of report: <br />1) Were the analyses requested on the Chain of Custody reported? ❑ Yes ❑ No If no, what analyses are still needed? - <br />2) Was the report issued within the requested turnaround time? ❑ Yes ❑ No If no, what was the turnaround time? <br />Approved by: ___ Signature: Company: <br />Comments <br />Page A- of <br />C12 - <br />Date: <br />Ca <br />0 <br />.0 <br />Ca <br />J <br />0 <br />a� <br />% <br />