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❑ 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 ❑ 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: v • va Project Name: 2 cv <br />Address: UNOCAL Project Manager: IF <br />/ <br />City: State: Zip Code:66 Z,0 Release #: <br />Telephone: 16 6 3 8—,2 0 8,< FAX #: Site #: S'S <br />Report To: • k�_ LSamLler: 1QC Data: YLevel D (Standard) ❑ Level C ❑ Level B ❑ Level A <br />Turnaround ❑ 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water JAnalyses Re uested <br />Time: ❑ 2 Work Das L)1 Work Da ❑ 2-8 Hours L) Waste Water <br />ODE: ❑ Misc. IM Detect. ❑ Eval. ❑ Remed. ❑ Demol. ❑ Closurel ❑ OtherN. <br />�•- <br />•- , - • •- <br />Cli <br />•. • • -LaboratorySample #:ill �'ia'7 VIR <br />ii�.i' omments6W <br />EN5WWAM=,,M=K§MMMMMM <br />Relinquished By: Dater Z Time: �{�vo Received B . Date: -Z? ij Time: OC;O <br />Relinquished By Date -7' Time: ) 71® Received By: Date: Time: <br />Relin wished By: Date: Time: Received B ab• c� �fl.�-f ate: / �y Time: <br />Were Samples Received in Good Condition? 4Yes ❑ No Samples on Ice? Yes ❑ No (Mthod of Shipment /PG at L Page 2� of <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 L) No If no, what was the turnaround time? <br />Approved by: Signature: Company: Date: <br />c <br />m <br />0 <br />c <br />a <br />I <br />Cz <br />O <br />.Q <br />Ca <br />J <br />a� <br />