COMPLIANCE INFO_1998-2004 - Laserfiche WebLink

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4t uou uuubapuanu uuvu - IluUwuuU tarty, UA yauua - t'+ iu) aU4-96U0 a Idiij ILUth Ave., N.E., Sutle IUl - Bothell, WA 98U11 • (2UU)'+01-acuu UN U"' C A L• O 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 ❑ East 11115 Montgomery, Suite B • Spokane, WA 99206 • (509) 924-9200 ❑ 404 N. Wiget Lane • Walnut Creek, CA 94598 - (510) 988-9600 ❑ 15055 S.W. Sequoia Pkwy, Suite 110 • Portland, OR 97222 • (503) 624-9800 Consultant Company: Project Name: Z'31 '� � � \�fl, \ Address: Project Manager: ��V&\\1W-- 10 i C ❑ Level C ❑ Level B n' eve A c Comments Relinquished By: Date: - ZL *f car Relinquislied By: oz, Date: S U,*( Relin uished By: ate: City: U%%ktl� State: Received By: Dater -2G •,9 Zip Cod AFE #: Received By: ate: Telephone: Time: FAX #: Site #, City, State: ' `\ Re ort To: �� VC'�:�` Sam ler: USS QC Data: Level D Stan Turnaround TA 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Time: ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours ❑ Waste Water CODE: ❑ Misc. Detect. ❑ Eval. L1Remed. L)Demol. L) Closure Other Client Date/Time Matrix # of Cont. Laboratory v Sample I.D. Sam led Desc. Cont. Type Sample # 2. 3. 4. 5. 6. 7. 8. 10 i C ❑ Level C ❑ Level B n' eve A c Comments Relinquished By: Date: - ZL *f car Relinquislied By: oz, Date: S U,*( Relin uished By: ate: Time: y`: iv Received By: Dater -2G •,9 Time: =/D Time: Received By: ate: Time: Time: Received B Lab: U. 4101 Date: 5 2Ett ime: ) (c,Z Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page _ of _ o be completed upon receipt of report: 1) Were the analyses requested on the Chain of Custody reported? ❑ Yes J No If no, what analyses are still needed? 2) Was the report issued within the requested turnaround time? a Yes J NQ If no, what was the turnaround time? approved by: - Signature: Company: Date: 0 CU J