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2D UOIA ANALYTICAL 116110 Chesapeak e • Redwood City, CA 94063 -- (650) 364-9600 FAX (650) 364- <br /> ❑ 819 Striker Ave , to 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-010 <br /> 1W CHAIN OF CUSTODY ❑ 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> Cl 1455 McDowell Blvd Not th, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name AVC Project Name ca .1j,-J <br /> Mailing Address t o lkp- pU I LAIR Vt I Billing Address (if different) <br /> City � �<���"p State Cft Zip Code 15)�—f <br /> Telephone �<:,"I 5]'�, Z L t I FAX # ZbJ 57-h-17z 5 PO # a <br /> Report Ta 1-)sAjvJ cavi kv- Sampler u r Ft�,r',J QC Data 'bevel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround '>('10 Working Days ❑3 Working Days ❑2 -8 Hours ❑ Drinking Water Analyses Requested <br /> !L <br /> Time ❑ 7 Working Days ❑2 Working Days 0 Waste Water f <br /> ❑ 5 Working Days ❑ 24 Hours )'other <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> omments <br /> Sample I D Sampled Desc Cont Type Sample # '{� C <br /> 1 �U�- � � �� �5td��!z.t� �c.��• 1 ts� � " �2- 1��.�r In���� � <br /> V <br /> Xf b <br /> 2 Vc >lU��l �"I`� � .�y�l <br /> b <br /> F <br /> 4 <br /> 5 <br /> 6 <br /> ca <br /> 7 0 <br /> W <br /> 8 r) <br /> (D <br /> 9 <br /> 10 <br /> Relinquished By ,f W,.1 � , Date 5'I S�� Time OF,)() Received By -- 5� — Date Time <br /> Reimquished By ,.y 'c' Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes 0 No Samples on ice? ❑Yes ❑ No Method of Shipment Page of <br />