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&,8135 Jarvis Drive • Morgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> 18OUOIA ANALYTICAL ❑ 819 Striker Ave ,illAe 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01� <br /> ❑ 404 N Wiget LaMEFIValnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> i� 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 ATG /45SOC -Z;qG- Project Name N t6 rri i <br /> Mailing Address 0/7 Lortt- -?6/4,2eve Billing Address (if different) <br /> City State Zip Code g535 / <br /> Telephone 2-09-S7V - 7Z2- S <br /> FAX # ZO - 79- ZZZ5 PO # a <br /> Report To �G� ���vtis Sampler r res QC Data KLevel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Turnaround ; Qo Working Days ❑3 Working Days C! 2 - 8 Hours ❑ Drinking Water Analyses Requested E- <br /> iZ <br /> Time ❑ 7 Working Days O 2 Working Days 0 Waste Water <br /> C35 Working Days C124 Hours MJ6 0-5­13 gOther(� <br /> Client Date/Time Matrix # of Cont Sequoia's �/ ��'� <br /> Comments <br /> Sample I D Sampled Desc Cant Type Sample # <br /> l -io H,! <br /> 0 <br /> 2 M Vj Z 105 z ✓ Cr <br /> �n <br /> 3 1j-3102-5 1� 3 L7, <br /> O <br /> 4 t � r <br /> i <br /> 5 <br /> 6 <br /> 7 <br /> 0 <br /> i� <br /> 8 <br /> 9 <br /> 10 <br /> Relinquished By ate p3 t(dip Time 153o Received By 600 Date F-16-ZTime <br /> Relinquished By Date Time Received By r � � ate .711VO Time 615' <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes 0 No Samples on Ices es ❑ No Method of Shipment (f �?rIP,✓ Page I of r <br /> i <br /> i <br />