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mA <br /> �S QUOI p L IC �80 L�iesaV,-!nve11-"edwo5 Cly, ("0630) )R-k00'M(65 J uOp �'1 U 819 Striker uite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 92 . 100 <br /> CHAIN OF CUSTODY U 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> Cl 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name 64 FL Project Name <br /> Mailing Address Billing Address (if different) <br /> City q�tt,�; ; � State CIS Zir) Code ?j 3 -1 <br /> Telephone LL' Z L t FAX # L� t i -r- PO # <br /> Report To ���`zvv ^� Sampler QC Data Level D Standard J Level C U Level B U Level A v <br /> . ((, ( L,E tit •, U�9t (Standard) <br /> Turnaround [-'Kfo Working Days U 3 Working Days U 2 - 8 Hours U Drinking Water Analyses Requested 0. <br /> Time U 7 Working Days ❑ 2 Working Days U Waste Water as' <br /> CJ 5 Working Days U 24 Hours Other <br /> Client Date/Time Matrix # of Cont Sequoia's `1) Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> C)11'N <br /> 0 <br /> 2 <br /> ff <br /> 0 <br /> r <br /> 4 <br /> 5 <br /> 6 <br /> 000 C(!S ODYS ALSI TACT NOTINTACI L T <br /> 7 0 <br /> G(ULERJEMPRATVR[..J- 4C <br /> 8 co <br /> , <br /> 9 � <br /> 10 <br /> Relinquished B - Date 0305^97 Time J Z Received By (�;� 7��47t��� Date 'j 7 << Time jq 7(— <br /> Relinquished By —��z�� ^�jf r �� Date Ge Time Received By Date Time <br /> Relinquished By Date j- Time Received By Lab Date Time 17e") <br /> Were Samples Received in Good Condition? ❑Yes U No Samples on Ice? Yes U No Method of Shipment A / /Kv',( Page Sof �� <br />