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�DiU IA ® 680 Che ke Drive• Redwood City, CA 94063• (850) 364-9600 FAX (650 -9233 <br /> 1!T0O ANALYTICAL <br /> ❑ 19 Stnker7lve Suite 8 Sacramento CA 95834 916 921-9600 FAX 916 0100 <br /> 1/ CHAIN OF CUSTODY ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name 197' ktic, Project Name zkrosag <br /> Address /gyp Billing Address (if different) <br /> City State CD4 Zip Coded f <br /> Telephone _r'. 7-1 _ FAX #7j07•—ter- —ZZy.S- P O # _ <br /> m <br /> Report To 2)yZ w %.J e,4, Sampler / ,�� QC Data Level D (Standard) ❑ Level C ❑ Level B Q Level A <br /> Turnaround �0 Working Days ❑3 Working Days D 2- S Hours D Drinking Water Analyses Requested <br /> Q <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days O 24 Hours ,Wtther <br /> Client Date/Time Matrix # of Cont Sequoia's �++� ,Q� <br /> �a Comments <br /> Sample I D Sampled Desc Cont Type Sample # L <br /> 3 e ( ✓ <br /> 1 rv►rrJ- f a6 �i� � v <br /> Cr Pre$eXVC <br /> 3 New - 3 J 03 ✓ 3 . <br /> Y <br /> Q <br /> 4 mw- ys 3 �`� ✓ r��srC, v►g ,i�rB } <br /> _ r <br /> TA�6 � <br /> 6 JOS' E j h ✓ ,� <br /> 3 <br /> 7 V3-� I�#23 3 t) <br /> oa ,)P` `_ z , o <br /> i i i �^ a.��f �.F S Le�.+Ll— Cr <br /> s �'s 1r��►� 3y 5 b ' . �/ l A <br /> 9 � <br /> 110 <br /> Relinquished By � �! Date 'f( Time 1, Receive S� Dateb6zb(jS Time lj54 <br /> Relinquished B / Date _ - Time Received BY/ Date Time <br /> Relinquished By , Date Time Received By Lab Date ��� Timl� � <br /> Were Samples Received in Good Condition? Ci Yes ❑ No Samples on Ice9 Lffes © No !Method of Shipment AYM- `06 RJ Ie- Page t of 3 <br /> 11 <br />