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1885 Jarvis Drive • organ Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> izOQUOIA ANALYTICAL ❑ 819 Striper Ave , e 8 • Sacramento, CA 95834 • (916) 929-9600 FAX (916) 921-0110 •' <br /> ❑ 404 N Wiget Lane Walnut Creek, CA 94598 (925) 988-9600 FAX (925) 988-9673 <br /> 1W •CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232II-`9600 FAX (650) 232-9612 <br /> Company Name ATC AsscciaJe5 Project Name SUS I n _kl^ RS .5q 172?2 000/ <br /> Mailing Address 187 Lone Billing Address (if different) <br /> City w0a) k State Zip Code <br /> Telephone Mpg_ S7q_ Z 2Z � FAX # 20ff- 579-- Z27S PO # m <br /> Report To�,� L� Sampler � QC Data )9�Level D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Y <br /> Turnaround la<o Working Days ❑ 3 Working Days ❑2 8 Hours ❑ Drinking Water Analyses Requested <br /> ti <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 HoursJ 6-5 W �q <br /> Client Date/Time Matrix # of Cont Sequoia's ��� Oyu <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample # !�� <br /> 02111s s ✓ ✓ T <br /> Cr <br /> 2 °} <br /> m <br /> 3 D <br /> } <br /> 4 <br /> 5 <br /> 6 <br /> cu I <br /> 7 0 <br /> tr <br /> v <br /> 8 rn <br /> m <br /> 9 r <br /> 10 <br /> Relinquished By i Date 63 16C Time /330 Received By Date Time / <br /> Relcnquished By Date Time Received B w /yay Date Time <br /> Relinquished By Date Time Received By Latr Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? & 'es ❑ No Method of Shipment Page l of I <br />