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&MlarvilWe- n F=A 950W (4JW6-9M FAAIW) 7M08 - <br /> Striker13 819 CA 95834 (916) 921-9600 FAX (916) 921-010 <br /> ;LSUOIA ANALYTICAL <br /> El404 NWiet Lane - alnut Creek, CA 94598 925 988-9600 FAX 925 988-96737 <br /> f <br /> AIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954- (707) 792-1865 FAX (707) 792-0342 <br /> - ; ❑ 1551 Industrial Road- San Carlos, CA 94070 - (650) 232-9600 FAX (650) 232-9612 <br /> Compdny Name R'rG SS :r S Project Name 1 -54 1130 29.00 <br /> 15 <br /> Mailing=Address �� h Billing Address (if different) <br /> City , State ' Zip Code S <br /> Telephone _ 9 22 Zf FAX# 209-Ste_��- PO # <br /> P LD <br /> Report ToDYL� a,� �,�� Sampler A (or QC Data evel D (Standard) ❑ Level C El <br /> B Ll evel A U <br /> Y <br /> Turnaround pofb Working Days ❑3 Working Days ❑2-8 Hours ©Drinking Water- Analyses Requested <br /> ri <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> 5„1 r � mss. R/ <br /> ❑ 5 Working Days El24 Hours b they' <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample # J,9 Comments <br /> 0 <br /> 2 .f �iN=S ` ' a �b r 1t� U) <br /> r <br /> � 6 <br /> 3 + iia ,� r� � G 3 <br /> 0 <br /> 4 <br /> J - <br /> 5 w <br /> co <br /> 7 <br /> 8 t +n <br /> Q <br /> 9 L <br /> 10 i �1 <br /> Relinquished By Date Time �3 � Received By Date 7 ./f•_y9 Time /S yr-- <br /> ' �r <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? GXs 0 NO— Method of Shipment C.90y► t ✓ Page—L of <br />