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'�' �j/� ,..i-80X7.pear urive nCdwodu uii C7� x4063• �— �� � " <br /> �� SCOL�VIH /"►1V/`1Li I ICf'1L �� �� y, r b�0) 364-8t�00 �=AX�(fi5{�j 3fi4-92313 <br /> ❑ 819 Striker Ave., Suite 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 <br /> VV CHAIN OF CUSTODY ❑404 N.Wiget Lane -Walnut Creek, CA'94598 - (925) 988-9600 FAX (925) 988-9673 <br /> Company Name: <br /> Z11455 McDowell Blvd. North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> ATL SS 4 4 L� ��v+�. Project Name: ��..Se �-�^►`� �_.� 1c.e.,,•�— <br /> Mailing Address: i. 0 4 4„L Billing Address (if different): <br /> City: _ Stater Zip Code: c� 35 t <br /> Telephone: � �, 75-2Z2 FAX #: �z,c�,� 5 7r{_Z P.O. #; <br /> LRe o�- y _T <br /> P ...,�.z Sampler: --t-�' L� � r � QC Data: (Level D (Standard) 13 Level C ❑ Level B ❑ Level A U <br /> Turnaround JX10 Working Days ❑3 Working Days ❑2 -8 Hours © Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water a . 4 <br /> ❑ 5 Working Days ❑24 Hours r v <br /> - �� Other 6, C. <br /> Client Date/Time Matrix # of Cont. Sequoia's �� ►x �AJ� <br /> Sample I.D, Sampled Desc. Cont. Type Sample # ,� (i Comments :v <br /> ZX t” <br /> �! � 1. 12nn..5 ti -35.a �, � X0•,1 i :mss � <br /> o <br /> oL `l m <br /> 2. (k.&N <br /> - <br /> a <br /> ? 3. <br /> 3 <br /> °Y 4. 2 <br /> i 1 5. 2 r+1`� L S.t 1 2 2 x <br /> G7 7. t2M y� �°t S.- 1/ k S5 V8. <br /> )( <br /> 'o <br /> Q- <br /> 9. <br /> a� <br /> 10. <br /> Relinquished By: Date-07pl q$ Time: 1 Zia Received By: Date:7 J-� <br /> Time: <br /> Relinquished By: Date: ]me: Rec Date: <br /> Time; <br /> _- - -_f e inquished-By Received By Lab: bate: Time:/,/, 3a <br /> Were Samples Received in Good Condition? OYes 0 No Samples on Ice? 0<1 ❑ No Method of Shipment Ne-AA (,OlJr1QJf Page j of 3 <br />