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UOIA ANALYTICAL p- ;e • Redwood City,y, �(- <br /> ❑ 680 Chesa Bake CA 94063 • 65Q) 364-9600 FAX (650) 3644 <br /> ` ❑ 819 Striker Ave., 8 Sacramento, CA 95834 • 916) 921-9600 FAX (916) 921-01G <br /> WO CHAIN OF CUSTODY ❑ 404 N.Wiget Lane •Walnut Creek, CA 94,598 • (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: ATC c soc,){-A_)e a n c . Project Name:,MC,��-.f6,r- S WIAA (_j Z <br /> Mailing Address: 1//7 Lrr3,e, A A, A./a S�d'A 8 Billing Address (if different): <br /> City: Pin des State. (" i-:� Zip Code: <br /> Telephone: Zo9_ 579- ZZ zl FAX #: Z 579- 72-S- P.O.#: <br /> Report To: t Sam ler: OC Data: evel D Standard ❑ Level C ❑ Level B ❑ Level A v <br /> v� ? yam ,c� p fi�tXo,r� S (Standard) <br /> Turnaround WKWorking Days ❑3 Working Days ❑ 2-8 Hours ❑ Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours Q/Other Ae <br /> y►, <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> Sample i-D- Sampled Desc. Cont. Type Sample # r Comments <br /> 'i U lu <br /> 1. iWA)-Ll b-2- r�72399 lel 1 _ v �� 0 <br /> 2. 1,AW -Li D--I 6-722-99/1-7�7r L.1 L v ✓ cn <br /> 3. o <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> a <br /> 8. cn <br /> 9. <br /> 10. <br /> Relinquished By: �'` - � 7 6�� Date: i� g99 Time: ��� Received B <_f_ �G v v Date,�4,-`y ✓ Time: � �j' <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? M Y s ❑ No Method of Shipment �, c-t ' Page of <br />