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5 J riv r a*- ra <br /> C 7 77 F 408 630 <br /> 9 Sti�Ave e 8m�CA 4 -(0921 FA6) 9 - <br /> MOT AMLYMCAIr ❑ 404 N Wiget La Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> OFU <br /> 3 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 - <br /> CHAIN,`� OF CUSTODY ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> f <br /> Company NameTL I1vtiProtect Name <br /> A (�sSdG.lc tis L <br /> Mailing Address 111-7La�n� f���,,, AUr S �, lg Bailing Address (if different) <br /> City fl��s�o State L zip Code S 3 S <br /> Telephone 2,ocj 5-�q ZZz FAX # 2,09 9 ZZZI PO # ai <br /> Report To � �� 1`To.�tiSG• Sampler ,,, L�,_Ue,r-,n�a�, QC Data Level D (Standard) ❑ Level C El Level B Ll Level A <br /> U <br /> x <br /> Analyses Requested <br /> Turnaround 10 Working Days ❑ 3 Working Days ❑ 2 - 8 Hours G Drinking Water n <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours � 'gOther <br /> Client Date/Time Matrix # of Cont Sequoia's ° Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 19 �7�I T..b� 5 U' /� f b $fit S 0 <br /> 1 *0 1zU) <br /> 2 SQ 5 ta:Li0 fr"cl o�y b� <br /> tt_� O� <br /> 3 �Q-��-.SZ-SSS � <br /> ig <br /> 5 �� t `l6 <br /> ` b5� — <br /> lz <br /> 6 b 4S <br /> o <br /> 7 �-A,,�s -VSs o o D <br /> 8 <br /> I r <br /> g � <br /> 10 <br /> cc Time <br /> Relinquished By � _ <br /> Date+� � Time Received By,Ae 6S5l�N Date �Z f „ <br /> Relinquished By Date Time Received Date ZlpTime <br /> Relinquished By Date Time Received By La Date Time <br /> Were Samples Received in Good Condition? 0 Yes 0 No Samples on Ice? ❑Yes ❑ No Method of Shipment Page )l of <br />