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r,1 S OIA ANALYTICAL ❑ 680 Chesap Drnre- Redwood City, CA 94063 - (415) 364-9600 FAX t'4*',, 5) 3 x-9233 _ <br /> ❑ 819 West Striker Ave - Sacramento, CA 95834 - (916) 921-9600 FAX{9'5) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM- Concord, CA 94520 -(510) 686-9600 FAX '5 t ) 686-96x39 <br /> r <br /> Company Name �jCp ,J Project Name S 90 (D d 6 — O <br /> Address 23 SENZI.SE 9LV_V <144 Billing Address ( d different) <br /> City Ga,,VA State CA Zip Code '?S_1722 <br /> Telephone j( g FAX# P O # <br /> r <br /> Re rt To tI IAuJSamelerJ <br /> s FeE1 4X OC Data ALevel A(standard% ❑ Level B ❑ Level C Z! Level D <br /> Turnaround 10 Working Da <br /> 0 9 Ys ❑ 3 Worlang Days ❑ 2-8 Hours ❑ Drinking Wafer JAnalyses Re nested � <br /> Time: ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water X50 0 0 <br /> ❑ 5 Working Days ❑ 24 Hours I ❑ Other <br /> ��o�� <br /> Client Daterrime Matnx #of Cant Sequoia's `O <br /> b <br /> Sample I D Sampled Desc Cont Type Sample# � �" qR Commerts <br /> 1 /�(it1—( 3a 9�jb715- — A 1\ IcS�,&82(p2 <br /> 2 G �2 b 3a 9s <br /> 3 GJ 3 bl3o q 12-' <br /> 4 <br /> 5art X 1S30 <br /> J>'Co_ Ju 19 7;3! <br /> VA <br /> 413p l JJ40 0—J �7 Q�A-M K i � _ <br /> 9 <br /> I � <br /> 10 <br /> Relinquished By Date 3�r Time S� Received By Date Tm� t <br /> Relinquished By Date - Time Received By Date <br /> f -- <br /> Relinquished By I Date ITime I Received By Lab J L. VtLIDate Grr -5,9,� <br /> Were Samples Received in Good ConddionIALYes©No Samples on Ice)AYes ©No Method of Shipment 01�Q =zc:� I of <br /> N <br />