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lr-l1 r--; rte;. rte, r-t- r7 rte.: rl""V r-1 <br /> 4bZUOIA ANALYTICAL 680 Chesapeakte• Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364- <br /> 819 Striker Ave., Suite 8 -Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01OU <br /> i/ CHAIN OF CUSTODY ❑ 404 N.Wiget Lane •Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: Project Name: <br /> 1 $ilS l� �.c c�a1c9 r L„��.o�n <br /> Mailing Address: ,, Oc Lvv.% A,-c, L% 3 Billing Address (if different): <br /> City: Ned�S�6 State: L/�- Zip Coder <br /> Telephone:Z d , S7ci. 2ZZj FAX #:Zcyg•S79. ZZZ S P.O. #: <br /> Report To: c,� Lam,[ .�r,nyq� Sampler: —r'N,, �����„`q� OC Data: Level D (Standard) ❑ Level C LlLevel B LlLevel A v <br /> Y <br /> Turnaround �L10 Working Days ❑3 Working Days ❑2-8 Hours ❑Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water CL <br /> ❑ 5 Working Days ❑24 Hours Other h <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> 6~ ' <br /> Sample I.D. Sampled Desc. Cont. Type Sample # Comments <br /> t-Ly-tel S ��rss p <br /> 1. .,s -s�6-��.s G S6 ifl,l 3 y♦-eel t-„ c3 030e-( <br /> o <br /> _13 Sr <br /> 3S.,s 4 -sot-3s-s' <br /> 4,5-6 -5a-is-5' 157:1'6 X } <br /> �I S <br /> SSat -S3 -tn.S 11 S ZSl <br /> V, <br /> 0 6Susn -ss�'ssS 4�.ao x X --j } <br /> 9 x x m <br /> 0 <br /> M <br /> 8.S -5ft-745- Z9 rn <br /> 9,S'is c 51 46:46 V �/ V r �K -ZD <br /> r <br /> 10. <br /> Relinquished By. Date: Time: pa:ej Received By Date' Time/, ,OJ'� <br /> Relinquished By: AN Aye: DateTaO6 Time/-TO Received B Date:-S Time: !'f/Q <br /> Relinquished By: Dater 1•jg Time: Received By Lab: .� Dater_ -ffjTime: 7(� <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? ❑Yes ❑ No Method of Shipme Page—of <br />