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Ll 680 Chesapeake Drive • Redwood City, CA 94063 • (415) 364-9600 • ❑ 18939 120th Ave., N.E., Suite 101 • Bothell, WA 98011 • (206) 481-9200 ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 ❑ East 11115 Montgomery, Suite B • Spokane, WA 99206 • (509) 924-9200 NW ALGi ❑ 1900 Bates Ave., Suite LM • Concord, CA 94520 • (510) 686-9600 ❑ 15055 S.W. Sequoia Pkwy, Suite 110 • Portland, OR 97222 • (503) 624-9800 Company Name:- T4- E N✓' � R® Project Name: (JH vt w ( j Address:31(, ?v` m 2,?- Zvcp UNOCAL Project Manager: City: a✓tL �d v v State: CoZip Code:ft/,ar,7 Release #: Telephone: / - FAX #:9/ 33"�>~ Site #: .ate 6 .Report To: 497-4'C_ JSampler: � t"/ OC Data: 21evel D (Standard) ❑ Level C ❑ Level B ❑ Level A Turnaround 10 Work Days K5 Work Days ❑ 3 Work Days ❑ Drinking Water Time: ❑ 2 Work Das ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water CODE: LiMisc. Detect. ❑ Eval. ❑ Remed. ❑ Demol. ❑ Closure ❑ Other Client Date/Time Matrix # of Cont. Laboratory 1 Sample I.D. Sampled Desc. Cont. Type Sample # 15-73)j I—SPr '' 2. sPE13 L7-"-' &PVrn' 4. $ PJ 5. 6.S_.70J 5P2t9 iJ ' A 7. 8. 9. SPz, 10. N Relinquished By: 7_11WX_51*0_0s�,�� • • ' .�//.07� • .1 - - - - • ,Were Samples Received in Good Condition? Ayes U No Samples on Ice? AYes U No Method of 1 awal Comments .11 11 — z 0 m 0 ca Date: $ 9,r Time: , a= Y Date , Time: ate: g Laffirne: ( U J Page _ of _ 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 ❑ No If no, what was the turnaround time? ------ - -- -- - -- ----------- Approved by: _ Signature: -__ ___-___— Company: _-_ Date: