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1� <br />Lr TkOTM, i W;,7V <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 />819 Striker Ave., Suite 8 + Sacramento, CA 95834 • (916) 921-9600 U East 11115 Montgomery, Suite B • Spokane, WA 99206 • (509) 924-9200 <br />U 1900 Bates Ave., Suite LM • Concord, CA 94520 • (510) 686-9600 U 15055 S.W. Sequoia Pkwy, Suite 110 • Portland, OR 97222 + (503) 624-9800 <br />Company Name:` + <br />Turnaround ❑ 10 Work Days <br />Project Name: <br />Address: t( ` <br />UNOCAL Project Manager: I A Lz-,kA. <br />CityY11S ate:l� <br />;� Zip Code: '�j(��p <br />Release #: <br />Telephone c I - {j <br />FAX #: f6iD-8 <br />Site #: 5 v(n <br />Re ort To: <br />Sam <br />ler: <br />QC Data: Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br />Were Samples Received in Good Condition?)(Yes ❑ No Samples on Ice? Yes Ll No Method of Sh <br />Date: <br />To be completed upon receipt of report: <br />1) Were the analyses requested on the Chain of Custody reported? ❑ Yes Lk 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 />Turnaround ❑ 10 Work Days <br />❑ 3 Work Days <br />Ll Drinking Water <br />Time:2 W Das ❑ 1 Work Da <br />❑ 2-8 Hours <br />❑ Waste Water <br />L <br />CODE: ❑ Misc. Detect. ❑ Eval. ❑ Remed. <br />❑ Demol. ❑ Closure ❑ Other <br />Client Date/Time Matrix <br /># of Cont. <br />Laboratory <br />Sample I.D. Sampled Desc. Cont. Type <br />Sample # <br />D <br />x <br />X <br />3. gq - A i vv5 <br />9w <br />> ' <br />4. <br />5.5� 33 <br />1 <br />X <br />JC <br />8S?6- <br />9-2 1- L ►15� <br />1 <br />X� <br />x <br />10.4) 15 Ila) <br />2' <br />Relinquished By: <br />Dateg / 6' <br />Time: j.3 `// I <br />Received By: <br />Relinquished By: <br />Date: <br />iTime: <br />Received By: <br />Were Samples Received in Good Condition?)(Yes ❑ No Samples on Ice? Yes Ll No Method of Sh <br />Date: <br />To be completed upon receipt of report: <br />1) Were the analyses requested on the Chain of Custody reported? ❑ Yes Lk 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 />1, <br />me: <br />Date: <br />% <br />I <br />L <br />1, <br />me: <br />Date: <br />% <br />