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j �UOIA ANALYTICAL ` �� <br /> A680 Chesapeaki`~ ;,ve • Redwood City, CA 94063 • (650) 364-96QQ FAX (650} 364 �:,..yr <br /> U 819 Striker Ave., Suite 8 • Sacramento, CA 95834 (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN Or CUSTODY U 404 N. Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> • U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: Project Name 2,S 7e_j o <br /> MailingAddress: 7 - - <br /> I�l'7 L�r.� ��.�� F� Billing Address (if rJifterent): <br /> City: t , Slater Zip Code:Chr3� <br /> Telephone:Zn -6,;r7q _ FAX If: P O- 0:` <br /> Report To: - Sampler: QC Data: i Level D Standard U Level C U Level B U Level A U <br /> Turnaround 10 Working Days U ' Working Days U 2 - 8 Hours U Drinking Water Analyses Requested c <br /> Time: U 7 Working Days U 2 Working Days U Waste Water <br /> U 5 Working Days U 24 Hours O++ lh-cher �� C11111771 <br /> L� ��Client Date/Time MaErix # of Cont. Sequoias f / /� <br /> Sample I.D. Sampled Desc. Cont. Type Sample N l�/ /' /� Comments <br /> 5_ 1320 _Z_ b -1_/ -- - - <br /> 6. <br /> 7. <br /> tT <br /> 9. <br /> 10, <br /> Relinquished By: � � Date:,�4��� Time: Received By: Date: Time: <br /> Relin wished B Date: Time: Received 8 ' <br /> q Y y �, Dale: 1�d Time: �{ <br /> Relingryished B � � Dale: I 1t c Time:���j Received fay Lala _ Dale:f J�� L�� Time: 7 �� <br /> Were Saitiiples Receivecl in Good Condilion'? U Yes U No Samples on Ice? Ib es U No Melhod of Shipment =Q4! <br />