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r <br /> ID1 <br /> UOIA ANALYTICAL ❑ 680 Choake Drive• Redwood City, CA 94063 • (415) 364960D❑ 819 West Striker Ave. - Sacramento CA 95834 • 921-0100(�iC) 921-9C�� FAX (�1C) X21-�i� <br /> �� CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM • Concord, CA 94520 •(510) 686-9600 FAX(51'0) 686-9689 - <br /> Company Name: �-- �� Project Name: <br /> sC Q <br /> Address: L4 1 Billing Address ( if different): <br /> City: VZ State: 1�1,4 Zip Code:91-( EEL <br /> Tele hone: - !2/f,(-) FAX#: <br /> 0 P.O. #: <br /> U <br /> Re rt To: AILS A L a IMA4 JSampler::r<). JOA/ QC Data: ❑ Level A(standard) ❑ Level B ❑ Level C Level D <br /> y I <br /> Turnamund 10 Working Days ❑ 3 Working Days 02 -81-lours ❑ Drinking Water Anal ses Requested <br /> �j 4 <br /> Time. 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other <br /> Client Date/Time Matrix #of Cont. Sequoia'suoia's >4 <br /> Sample I.D. Sampled Desc. Cont. Type Sample <br /> # Comments <br /> 1. - ( co�(_ �o Ll 19011574 . <br /> 2. W - a, 6011575 <br /> X- <br /> 3. - 3 6011576 <br /> 4. - ` 60115'7'7 � <br /> 011578 <br /> 0115'79 <br /> 7 _ 'a6 +��p 011580 <br /> 011581 <br /> 9 ,_ io 601158 <br /> 10. P1, qv 011583 <br /> Relinquished B . Date: Time: Received By: Date: ! qrime: 3 <br /> Relinquished By: Date: Time: All: 0 Received By: Date: Time: <br /> i <br /> Relinquished By-. I Date: Time: 1 Received B Lab: Date: ime: ) !p4 0 <br /> Were Samples Received in Good Condition? IJ Yes Lt No Samples on Ice? U Yes Q No Method of Shipment PROP, of F <br />