COMPLIANCE INFO_1998-2004 - Laserfiche WebLink

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U 680 Chesapeake Drive • Redwood City, CA 94063 . (415) 364-9600 U 18939 120th Ave., N.E., Suite 1011 • BollleW, WA 98011 • (206) 4811.9200 U 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 U East 11115 Montgomery, Suite B • Spokane, WA 99206 • (509) 924-9200 UNOCAL1 404 N. Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 U 15055 S.W. Sequoia Pkwy, Suite 110 • Portland OI� 97(21* (513) 624-9800 Consultant Company: G ET T L E S -* 1 7 Project Name:T0 5 C Q %' 41 ). -- 'T 1 7 (l c -.Y Address: t Is tvlt!t C+ +e U UNOCAL Project Manager: v L C ESM I L 1. C— City: u p L_ 10 State: C Zip Code. W3 6j AFE #: r cele hone: �� I ® �� `- �� FAX #: '�� I '� Site #, City, State: 3 13 �t-�t R R c LV P Re ort To: 6meler: QC Data: .bevel D (Standard) ❑ Level C ❑ Level B ❑ Level A Turnaround ❑ 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Anal ses,Re uest d ► . Time: ❑ 2 Work Das 1 Work Da ❑ 2-8 Hours ❑ Waste Water 1 l t CODE: ❑ Misc. ❑ Detect. ❑ Eval. ❑ Remed. ❑ Demol. ❑ Closure XOther Client Datefrime Matrix # of Cont. Laboratory Sample I.D. Sampled Desc. Cont. Type Sample # Comments I. I('3 8 S 0 l L :. 'ecps.. 35 5V'' te' t.�' v t/ RCS u t..1..5 2. ;05 N ED E D 3. C3Y 9 ;tgo AM 4. ; 1611 5.; 6. 7. i 9. 10. i Relipqui B Date:V1 Time: Received B ~�`----- -- Qat Time: Relipquished By: Relin uished ate: Time: Received By: Date: Time: Date: Time: _'''� ece ved� IV- �' Date: Time: f Ntl Were Samples Received in Good Condition? Yes O No Samples on Ice? Yes U No Method of Shipment Page _ of _ To Be completed upon receipt of report: 1) Were the analyses requested on the Chair! of Custody reported? U Yes b No If no, what analyses are still needed? 2) Was the report issued within the requested turnaround time? U Yes U No If no, what was the turnaround time? Approved by: _ Signature: ____ —Company: Date: