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X885 Jarvis Drive • rgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> UOIA ANALYTICAL ❑ 819 Striker Ave , 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01• " <br /> 12 ❑ 404 N Wiget Lane•Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> � CHAIN 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 /> Company Name 147' Af z -27; l Project Name N is Irr 4 r4ft <br /> Mailing Address X117 �� �,� jr��` ��� Billing Address (if different) <br /> City (nj,, State CL Zip Code 9535 1 <br /> Telephone Z(}c!, r 7 1 7 =_� FAX # �Lc `�- i 2%S PO # <br /> Report To ` ri���;�, Sampler rc s QC Data ALevel D (Standard) ❑ Level C ❑ Level B ElLevel A v <br /> Y <br /> Turnaround >9d0 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested e <br /> 4. <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours Other(--1 <br /> Client Date/Time Matrix # of Cont Sequoia's k <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> 1 J�A V) <br /> 0 <br /> 2 NA 165v <br /> U) <br /> ;025 1k] -' ✓ o <br /> d- <br /> 5 <br /> F <br /> 6 - € <br /> l <br /> 7 5 I <br /> 0 <br /> e <br /> 0- <br /> 8 8 m <br /> 9 <br /> 10 <br /> Relinquished Bye -L / f bate 0 1 m Time —,n Received Bye ; � %� k, � Date rt ?r'L Time �JL� <br /> Relinquished By Date Time Received By DateTime <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? 0 Yes ❑No Samples on Ice? 104es ❑No Method of Shipment lei Page I of r <br />