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UOIA ANALYTICAL �1819 West KerAve - Sacramento, CA 95834 • (916) 921-9600 FAX (91 R21 0100 <br /> 680 Chesapeake Drive - Redwood City, CA 94063 • (415) 364 9600 FAX (415) 3649233 <br /> CHAIN OF CUSTODY U 1900 Bates Ave , Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (510) 686-9681- <br /> Company Namee. i �, Project Name x 0tiJ <br /> Address ���jzi ,y J 10 <br /> 74- - _- - Billing Address { if different) --- <br /> Cdy et -«e�- State C_A Zip Code <br /> Telephone ej14 Z ?���� ,�_ _- _ __ FAX # 7i6 = 50 P_0 # <br /> ,Report To i C=r.r�►-��_�.�...._lSam ler tf✓�T .11�i� .�� �.n- �... _ _ 5er <br /> Turnaround Time �} 10 WoO(ilta Day,, U 3 Worinnq Days 7 2 - 8 1 loursested ni Nlnrl<iiq Das �] 2 vdoikini [lar a._, _ <br /> F.) 5 oll,if ig Dn's 4 Flour, �' <br /> Chenl T ^ Dato/t inw kia1r ixT # n1 lcont Sequoias .f �j;�( v� i / � T <br /> Sample I D Sallipi„r1 rjerc Coiit I ypp Sample # l�Qr ' /� + Comments <br /> 3 - --- --- ----_ - - - ---- - --- - - - - - -- --- -- "'J <br /> 4 <br /> 6 <br /> 7 <br /> _ _ - -- - --- - --- — ---- o <br /> n <br /> c <br /> 8 <br /> 9 <br /> 10 <br /> Relinquished By «� Date ,< <41 Time r '�5 Received By ' ' 1� Date Time <br /> Relinquished By �j'Il Date �, 1 j Trine j Received By! ' t� I I C-'l Date 111� ?i Time1 11 r £ <br /> Reli2quished By I Date ITime Received By Lab I Date Rime <br /> Were Samples Received in Good Conddion2 U Yes 0 No Samples on Ice? 0 Yes IJ No Method of Shipment ��4� F� ��l' _ Page Lot (_ <br />