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i U 680 Chesapeake Drive • Redwood City, CA Se (415) 364-9600 U 18939120th Ave., N.E., Suite 101 • Bothell, WA 9801 i6) 481-9200 <br />UNO(C"AL® U 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 />• • <br />' • - <br />a4'ate: <br />Zip Code: <br />. - - - <br />915 <br />Telephone -1910 <br />..- • • • <br />- f - <br />u� <br />QC ! - ! a <br />Turnaround U 10 <br />Work Days U 5 Work Days U 3 Work DaysDrinking <br />Water <br />Time: - LJ 2 Work Days Ll 1 Work Day L3 2-8 Hours <br />L11 Waste Water <br />CODE: U misc. Detect. U Eval. Ll Remed. Ll Demol. U Closure U Other W"110,11 NU <br />Client <br />Daterrime <br />Laboratory <br />=9401. <br />=M. <br />.�m.■-m■'llCnnm. <br />■'llll ■■R.-.■EMM11m©ma <br />Relinquished By: <br />Relinquished By: <br />E <br />N <br />UMMAMM, <br />NOM <br />-f <br />Were Samples Received in Good Condition? (Yes U No Samples on Ice? Ayes U NiAethod of <br />❑ Level C ❑ Level B ❑ <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: <br />0 <br />F] <br />v <br />Comments <br />MN <br />a• 77��r Time: <br />I If Page / of . <br />n.qtp- <br />