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CM AM Lf ftAT MO 6@hes a D Re i Cil 94(65#*-96 WAX <br /> m-ViFtP <br /> ❑ 819 Strike, Suite 8 • Sacramento, CA 95834• (916 921-9600 FAX 916 9 rOO <br /> HAIN OF CUSTODY ❑404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> I <br /> Company Name AN(- ks©c,e�� Project Name CV-4LA-k� <br /> Address2-GO �I-Cy �y Billing Address (if different) <br /> City State Zip Code <br /> Telephone Zol i5 - 'LL--L( FAX # PO # (OZsXO p,�- c <br /> T <br /> [Report To o,,\ X\ Sampler OvA [,� a,�---- OC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A V <br /> Y <br /> Turnaround X10 Working Days ❑3 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses Requested <br /> (L <br /> Time ❑ 7 Working Days ❑2 Working Days (1� {�, ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours ❑Other ,F(j <br /> Client Date/Time Matrix # of Cont Sequoia's �` ��` Comments <br /> Sample I D Sampled Desc Cont Type Sample # O <br /> C&- Av- Zo,5 p81ZY q 0035 So:� 6`` 1 <br /> 1a� © )( <br /> 0 <br /> 2 CG- MW. --zb 5- <br /> 3 CCI-Mv'JZ <br /> 0 <br /> � <br /> 4 Ur-Mv"Z zb Is 03C oy 3o } <br /> '— 5 LG-µcJ, (32,-y 0S <br /> 6 C�-µ�3-zB�s <br /> E 3�(o y a tZ <br /> 7 <br /> a <br /> a <br /> Cr <br /> 8 u) <br /> a� <br /> 9 <br /> 10 <br /> Relinquished By - Date C Time Received By C Date F1,219i Time tT.,o o <br /> Relinquished By Date oF-7y1 TimQg(A( Received By Date Time <br /> Relinquished By Date Time Received By Lal? �r/Date j f r Time 1k <br /> Were Samples Received in Good Condition? O Yes ❑ No Samples on Ice? ❑Yes ❑ No Method of Shipment Page,of <br /> I, <br />