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helrke D=rnre• Redwood <br /> City,CA 94�063•(415)364_9M 364-3f�Fv({415}3fi48233� J:D411*, �QUOIA ANALYTICAL d �C <br /> � <br /> Ll819 West Stryker Ave •Sacramento, CA 95834•(916)921-9600 FAX (9 16)921-0100 <br /> " <br /> CHAIN O F CUSTODY ❑ 1900 Bates Ave,Sude LM•Concord,CA 9452201-(510)686-9600 FAX (510)686-9689 <br /> " <br /> Company Name Project Narne: <br /> Address: Billing Address(d diferent): <br /> City State. zip Code. S' <br /> Telephone: - FAX#• f P O #: 58680 — 6(P <br /> Report To, <br /> a=Sampler Dat e;vel A(swmiam) ❑Level B ❑ Levet C (3 Level D <br /> J TUMMUnd ❑ 10 Das c <br /> � Y ❑3 YVoriartg Days ❑ 2.8 Hours ❑ Drinking Wader Re ested <br /> Time: ❑7 Wo <br /> �9� ❑ 2 Woriertg Days Waste Water <br /> /h35 WoftV D#YS ❑ 24 Hours ❑ Other <br /> Chert Datemme Matrix #of Cont. Segw la's <br /> Sample I D. Sampled Desc. Coat Type Sample# Comments <br /> 1. figl4.5 3 t Q <br /> - 2-- 4�•ptavc <br /> -__, - < Co. <br /> 4 <br /> 4. W- - - �i ='f K = - - - } <br /> �• � � .3 �� �i � e s� .N a �4r < _ e Y <br /> 71 6 <br /> -V.'. It.V <br /> Iu.Ljj "i s i ali 4 gf x.¢. 3< "H . ^f r u Y _ <br /> i�2.§Svup •}_ i 3' • Y ! za t: _ U. <br /> __. `1-1 »^.•} 11+ <br /> 7_ %..sk i - S - <br /> � <br /> was 3x 3_yy= .i- SE Si•. t v;fit -tip _ _ •_ !y }< Y s0i'A4� --» xit = 2.¢ <br /> Cr T�T A <br /> ,V' <br /> W <br /> V• <br /> 10 <br /> Rel'mcuishe{!By ,� f0ate. Time, Recerved 13y: f]ate`' f Mme. ! <br /> Ae1-itquisheTrin <br /> d ate e• ceived B �rly' Date ..- Q �- <br /> Rel fished W ��Frime V- *J Received By 1.a5: Dater rine <br /> / n 46�9==1 <br /> Were Samples Received in Good Conddion?)4 Yes❑No Samples ort fee? XYes❑No Method of Sh nt Pri{ r-r { Page 1 of ` <br />