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UOiA ANALYTICAL L1 680 Chesapeake �• Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9V <br /> S* <br /> LJ 819 Shiker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921 9600 FAX (916) 921-0100 <br /> M- CHAIN OF CUSTODY U 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792 1865 FAX (707) 792-0342 <br /> Company Name ^ Project Name n <br /> Mailing Address ,V, PC,IL/A 4vt r s Billing Address (if different) F <br /> City tz State cA Zip Code 3i <br /> Telephone 5 _ ZZL ( FAX h �jt S-1'r---LZLS PO # m <br /> Report To A,,,,,J VZ-AAAAL— Sampler QC Data IxLevel D (Standard) U Level C U Level B U Level A v <br /> Turnaround ),('10 Working Days U 3 Working Days U 2 8 Hours U Drinking Watcr I Analyses Requested <br /> 1 [l. <br /> Time U 7 Working Days U 2 Working Days U Waste Water r <br /> U 5 Working Days U 24 Hours 'Dkt]ther / <br /> Client Date/Time Matrix # of Coni Sequoia's Comments <br /> Sample I D Sampled Dese Cont Type Sample # <br /> 1Lo <br /> tJJ Cr <br /> 4 } <br /> 5 <br /> 6 <br /> 7 ro <br /> 0 <br /> D <br /> 8 <br /> CT <br /> m <br /> 9 ' <br /> 10 <br /> Relinquished By 1," Date Time 06�,r, Received By _ Date= �— Time�� <br /> G <br /> Retmqwshed By Date '� Time Lry Received B _ ate 5 (t) Time 01cr.� <br /> Relinquished By Date Time Received By Lab Date rime <br /> Weir. Sampio-, i tecoivad in flood CnnddioO U Yew U No Samples oil lce) U Yes i-i No Method of Shipment Parle f of t <br />