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iWW' ,]arrive rgar CAM7 • M776 • F@W08)=630= <br /> ❑ 819 Striker Ave , e 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01! , <br /> ix) <br /> UOIA ANALYTICAL p 404 N Wiget Lan Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> CHAIN OF CUSTODY 1:31455 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 NameAT Project Name -ble&A ) n 2577 nac) <br /> Mailing Address It 17 ) J a Billing Address (if different) <br /> City State Zip Code CSS <br /> I <br /> TelephoneZ FAX " _ PO # <br /> Report To Sampler QC Data $ evel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround K10 Working Days ❑ 3 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses Requested CL <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> V Ar <br /> ❑ 5 Working Days ❑ 24 Hours Other [y ,y <br /> Client Date/Time Matrix # of Cont Sequoia's �'� C Q' Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> q0 Jilt <br /> ` . 0 <br /> 2 W— 1`�� W � � +! ✓ if <br /> Cr <br /> 07 <br /> s <br /> } <br /> 5 <br /> l <br /> I . 3 <br /> 6 <br /> 7 O <br /> 6 <br /> N <br /> 8 <br /> 9 � <br /> 10 <br /> Relinquished By 45ri-lie-1,1,Date A av ?I Time 1, Received Bye S Date Time <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 Condition9 ❑Yes ❑ No Samples on Ice? PYes Q No Method of Shipment CjDo K k C-1fk C-+i(' Page,of <br />