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y' <br /> L 80 Chesor <br /> ke Drl,e • Redwood City, CA 94063 • (650) 364-9600 FAX (650 -9233 <br /> JT, 01�QUOIA ANALYTICAL ❑ 819 Strik e , Suite 8•'Sacramento, CA 95834 • (916) 921-9600 FAX (916) 0100 ` <br /> E <br /> CHAIN OF CUSTODY ©404 N Wiget Lane• W�lr�41 Cree�C, CA 94598 • (510) 988-9600 FAX (510) 988-9673 w <br /> 3 f I <br /> Company Name ATC. /kgs©ca,o��re-s r�,. Protect Nar>1e 4M41 <br /> Address 11-7 Lo rtA- Ave S J i fie. Billing Address (if deferent) � <br /> City ��-b State Zip Code 955 <br /> Telephone _ �^ 2 FAX # _ Po # - - _ 9�'/I - q <br /> Report To -br Sampler f QC Data evel D (Standard) 0 Level C ❑ Level B ElLevel A U <br /> Turnaround QTrWorking Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> ii <br /> Time ❑ 7 Working Days ❑2 Working Days U Waste Water Q <br /> ❑ 5 Working Days ❑24 Hours plCrther <br /> Client Date/Time Matrix # of Cont Sequoia's /L� Comments <br /> Sample I D Sampled Desc Cont 11AType Sample # <br /> 1 11 { y 1 (Z S b, o <br /> 22. <br /> 5 ' <br /> 3 MS-3 , o 3 <br /> 4 <br /> 5 <br /> 6 <br /> i ` ¢ <br /> Cr <br /> 8 <br /> 9 s <br /> 10 <br /> ?� �Ca-c Ila 4 a <br /> Relinquished fay Date Time Received By Dale - (r g Time 3 <br /> Relinquished Byrn, , Date Time ��e4 Received By - a e <br /> Relinquished By Time Received By Lab Datelf'&/A d- Time /U 1C) <br /> r <br /> ' Were& -s Received in Good Condition? [Yes C.1 No Samples on p'�fes ❑ No Method of Ship nZLj-2A-E-A?-- Pa _of <br /> E � r <br />