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M M ! i pWary"ive WA 9M • (4"76- • Ff%8) ON 308M M M <br /> gan <br /> UOIA ANALYTICAL r19 Striker Ave , X8 • Sacramento, CA95834 • (916) 921-9600 • FAX (916) 921-0004 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 /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 • FAX (650) 232-9612 <br /> Company NameC I S I C Protectf a0- � L s� r~, f�'�t f c�c7oZ <br /> Mailing Address 111-1 L r"N1 A q , S01( Bitting Address (if different) <br /> CityMOAe } Stated Zip Code <br /> LD <br /> Telephone 2,0q_ 9-74_ �� Fax# �{�, r,7c1- z 5—�- PO # Payment Received ❑Yes ❑ No U <br /> Report To yt4� �* E Mail O4; f r rr QC Data Level D (Standard) LI Level C C) Level B Ll Level A X <br /> c <br /> Turnaround;.10- 15 Working Days ❑ 3 Working Days ❑2-8 Hours Mandatory Sampler, �' -, i IL <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑ Drinking Water ��.6 <br /> ElEl4 <br /> 5 Working Days ❑ 1 Working Day Waste Water J� ,�r <br /> Other <br /> 5 <br /> Client Date/Time Matrix # of Cont Sequoia's ��y� f��k Comments <br /> Sample I D Sampled Desc Cont Type Sample# P� RC1 <br /> 2 { f {�)k►i ��� VCr <br /> 1/ �'oldi rt V %ryL9 <br /> 0 <br /> 3 V - Z 1 V <br /> 4 3 <br /> 0 <br /> 5 <br /> 6 <br /> 7 0 <br /> s <br /> Cr <br /> 4) <br /> 8 rn <br /> 9 <br /> L <br /> 10 <br /> Relinquished By AZi, ate / Time ,r-7 in Received B Date -at Time <br /> Relinquished By Date Time Received By_ Date Time <br /> Relinquished By Date Time;' Received By Date Time <br /> Were Samples Received in Good Condition? Li Yes ❑ No Samples on Ice? ❑ Yes E3' No Method of Shipment � , ,y__�� Page of <br />