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Redwood <br /> CA 94063- ( 50 <br /> 364-9600 FAX (650) <br /> ISOUOIA ANALYTICAL El 889 Striker A e Wte 8 Sacramentlo,�CA 95834 a (96 6))921-9600 FAX (9116) 921-0I <br /> � CHAIN OF CUSTODY C3 404 N Wiget Lane •Walnut Creek, CA 94598• (925) 988-9600 FAX (925) 988-9673 - <br /> ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0340 <br /> Company Name ATC -Inc-aAes , Project Name k0 ' a 1+ S <br /> Mailing Addresse % +!Sv*1C Billing Address (if different) <br /> nilmCity State Zip Code IK35-1 <br /> Telephone 20ft,_ �c-r4. FAX # 101_ S _�� PO # <br /> Report To T L.,+4C-V wgti SamplerMeK io t e QC Data PCevel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> x <br /> Turnaround G�0 Working Days ❑3 Working Days ❑2-8 Hours ❑Drinking Water Analyses Requested <br /> a <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours �ther '\ <br /> Client Date/Time Matrix # of C"ont Sequoia's Comments <br /> Sample I D Sampled Desc Cant Type Sample # <br /> Y-.i' R ro <br /> 1 { ObZM/1154 � i P Zas2 rep o <br /> R <br /> 3 t40 Boa W. <br /> 4 MW- ! 1 I12.0 W } <br /> 5 <br /> R <br /> S - <br /> 6 <br /> Y <br /> 7 O <br /> Cr <br /> 8 <br /> 9 s <br /> 10 <br /> Relinquished By fjt-� R Date $ Time y Received By , , 7/ Date �i23 Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑No Samples on Ice? Wes ❑ No Method of Shipment C�?cjr i e V' Page of <br />