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►Qoa:T�f ST �NV1u2� —1ft-L— S <br /> ❑ 680 Chesapeake Drive• Redwood City, CA 94063• (650) 364-9600 FAX (650) 64-9233 <br /> ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> VW CHAIN OF CUSTODY '�' 04 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954• (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: A- mr,,) (aF-65Project Name: <br /> Mailing Address: 30—A- Luor) &e--, Billing Address (if different): <br /> City: L `��vyv�� State: �' Zip Code: 1 1{jSD <br /> Telephone:gZS��pQ,��D 1—,9(� FAX #:gt�—(qaD—qz(o() P.O. #: z� <br /> [Report To:J�.�CQ �V P�1 Sampler: f 3at0.A/N COLAfeD�e— QC Data: ❑ Lev Standard) 0 Level C ❑ Level B ❑ Level A U <br /> Y <br /> Turnaround ❑ 10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water JAnalyses Requested <br /> Time: "K7 Working Days ❑2 Working Days cL 4A ❑Waste Water O�Lj ,vlj <br /> ❑ 5 Working Days ❑24 Hours 7�0v—r ❑Other <br /> Client Date/Time Matrix # of Cont. Sequoia's i� <br /> Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> h <br /> 1. - ZgY-25-.O' ZS Sly 56i I I �� <br /> Un <br /> 10' 5-0 o <br /> 4.d'q <br /> 5. <br /> 6. <br /> 7. z <br /> 0 <br /> M <br /> Q <br /> 8. o <br /> m <br /> 9. c <br /> 10. <br /> Relinquished By: Date:3?(Q q Time: Received By: Dat Time: <br /> Relinquished By: Date?/U/91TA-3"'-("' Received ate:3 Time: <br /> Relinquished By: Date: Time: Received B Lab: Date: Time: <br /> Were Samples Received in Good Condition? ❑Yes ❑No Samples on Ice? 0 Yes 11 No Method of Shipment Page J—' of—1-- <br />