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❑10JandMve • an RWA 910• (4R76-W FAW8) MR308M = i' <br /> UOIA ANALYTICAL ❑ 819 Striker Ave , 8 • Sacramento, CA 95834 • (916) 921-9600 • FAX (916) 921-0i <br /> EI 404 N Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 <br /> CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 • FAX (707) 792-0342 <br /> p 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 • FAX (650) 232-9612 <br /> Company Name ATC A Project j�.r,T 1t ('-q— rX. W91 . ozy�> <br /> Mailing Address n r} L.,,.c, <,,,Ie FS Billing Address (if different) <br /> City hjee 4. State C- Zip Code ejS <br /> Telephone 2,y T c }cy• j Fax # Z ��S <br /> PO # Payment Received ❑Yes C3 No <br /> U <br /> Report To `p H ��,,� E-Mail QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> _ 9 <br /> Turnaround )4 10 - 15 Working Days p 3 Working Days ❑2 - 8 Hours Mandatory Sampler <br /> Time p 7 Working Days p 2 Working Days ❑ Drinking Water J <br /> ❑ 5 Working Days p 1 Working Day ❑ Waste Water <br /> N Other o IS <br /> Client Date/Time Matrix # of Cont Sequoia's ���y Comments <br /> Sample I D Sampled Desc Cont Type Sample # P <br /> 1 ,�� j 0 5" �l �1�rlc n ✓ �' 1,� <br /> 2 j 1003 ✓ o <br /> 13pW <br /> Cr <br /> 4 3 <br /> i a <br /> 5 W <br /> 6 <br /> 7 0 <br /> Cr <br /> 8 � <br /> 9 ar <br /> L <br /> 10 <br /> Relinquished By Date 1INQ Time rili Received B f-5 r- Date 1111101 Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> f (V urj,�q <br /> Were Samples Received in Good Condition? p Yes ❑ No Samples on Ice? YYes�lNlo Method of Shipment ( ;nom 1_+. i, Page / of / <br />