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l A I I "%0 aiieTirive'Re Woo�y, CM063�5) 3R-%00 W(4 4-921" <br /> ❑ 819 We inker Ave • Sacramento CA 95834 . 916 921-9600 FAX 9 21-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (510) 686-9689 <br /> Company Name r , (' f Protect Name J ' <br /> !J ti rei �rd�rr,,4i� t rrZr54 � r S <br /> Address 7-L �/ 5-�- Billing Address( if different) <br /> City �4 State Zip Code f75�r le <br /> Telephone q3 - 6 FAX# P O # C/5e)o _D <br /> / U <br /> Report To y✓ -- Sam ler QC Data �3 Level A(standard) ❑ Level B ❑ Level C ❑ Level D <br /> Turnaround10 <br /> �� Working Days Y ❑ 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water Anal ses Re uested n. <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other <br /> 1� <br /> Client Daterime Matrix #of Cont Sequoia's \� <br /> Sample I D Sampled Desc Cant Type Sample# Comments <br /> 17/Y/i Z yolk a( <br /> 0 <br /> Cr <br /> 3 590690 A <br /> 4 r-� J`J -_s 10 �fri r <br /> 5 B9 P, <br /> 7 0 <br /> a <br /> 8 m <br /> U) <br /> 9 <br /> 3 <br /> 10 <br /> Relinquished By c GL,� Date /z / Time ,dV Received By Date Z/l Time (�o <br /> Relinquished By r L ,,, Date <br /> -A)-Time /�?U Received By Date ff Time tt <br /> Relinquished B / 1, Date Time Received B Lab Datet2 r-r ime � 2D <br /> rr <br /> Were Samples Received in Good Condition'? Yes❑ No Samples on IceYes❑No Method of Shipment 5C-0 Page L of <br /> I i <br />