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k. <br /> O�► AI�i iLY�ZA� 68 esa Drive Redv"City, CA 94063 . 650)36�-9600�X (650 3 23 <br /> Q 819 StriMer, , Suite 8 • Sacramento, CA 95834• (916) 921-9600 FAX (916) 92 00 <br /> 4w CHAIN OF CUSTODY ❑X04'N ,Vfget Lane• Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name A rL A ss 44c-s, Project Nary e <br /> Address t Z G t Btlltng Address (if different) <br /> City M o-`ws V CJ State to Zip Code g S3 S 1 <br /> Telephone Zdq . S 9, Z 2.�l FAX # -Zact 575 Z7--2-:s PO # m <br /> Re ort ToVLi,11w%H + L <br /> p Sam ler r <br /> w,a <br /> ` CC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> �T4�3 <br /> Turnaround �10 Working Days ❑3 Working Days ❑2-8 Hours 0 Drinking Water Analyses Requested <br /> i a- <br /> Time ❑ 7 Working Days ❑2 Working Days Gr1G �[ ©Waste Water <br /> ❑ 5 Working Days 0 24 Hours { Out —[� XOther[sz 11w Y`' 4Q <br /> Client Date/Time Matrix # of Cont Sequoia's r <br /> Sample I D Sampled Desc Cont Type Sample It /� ,L�` ,� �-�► Comments <br /> Y <br /> 0 <br /> tz `3 UL X X <br /> LZt� M�1�7.r_ S Cr <br /> a� <br /> or LA LAU3 ji� 3 <br /> 5 %)Vl�'1,aJ <br /> 6 <br /> 7 0 <br /> Cr <br /> 8 <br /> (n <br /> 9 s <br /> 10 <br /> 1 -F-1 F[I. I t I I f <br /> `Relinquished By DateO?Zgyg Time 1,400 Received By � �LZL`�f Date Time �lLr <br /> )e,linqutshed By �bZ E Date Time t? Received B ate Time <br /> qutshed By — -------- f)ate-- ime Received By Lab Date! Time <br /> Received in Good Condition? E3 Yes ❑ No Samples on Ice? t/Yes U No Method of Shipment C_(?ti1_�._ltr_ ___ Page I of_� <br /> i '( <br />