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7ke <br /> 0 <br /> UOIA ANALYTICAL 80 Chesapeake e • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9 <br /> ❑ 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> AW CHAIN OF CUSTODY © 404 N Wget 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) 792-0342 <br /> Company Name lqT SSC Protect Name oG�An n -TT GZS7q <br /> Mailing Address //0 �©n� -a)wr Ave, Billing Address (if different) <br /> City CI S State Zip Code 95 <br /> Telephone2 _ Z FAX # a9-6179 2E Po # <br /> [Report To �� Sampler Al�K T l o QC Data evel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> x <br /> Turnaround 10 Working Days ❑ 3 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses Requested c <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water tZ <br /> ❑ 5 Working Days 0 24 Hours ✓ther CL� <br /> Client Date/Time Matrix # of Cont Sequoia's I`�� C � Comments <br /> Sample I D Sampled }Des�c Cant Type Sample # <br /> 1 r � Z � 7 �1 V 61 u Ss ✓ t/ �fOL P G kl <br /> V v�f a �' W S <br /> 2 ✓ tai C tiY1��rwL 6 <br /> a 2 � <br /> 3 V W` m V k`eM f a ✓ -k a-VINi e_ o <br /> 4 t W - r o I L "As LILM <br /> � �- <br /> 5 VW— i L/ <br /> 6 G— 'FF ryJ ✓ <br /> 0 <br /> 8 <br /> U) <br /> 9 <br /> 10 <br /> Relinquished By fa v, Date-og2Z9q Time /70O Received By �j'L Date y-2-7--9--1 Time ! 7 41-0 <br /> Relinquished By s Date Time y <br /> _tiy,� ���� Received B Date Time <br /> Relinquished By Date Time Received By Lab Date I Time C oco <br /> Warp gAmnIPC RaralVarf in C;ood C'nnrlitinn? n Yp,; n No 4amnlac nn Ira? tY4ac rl t\In NAcfhnrl of Rhinmant lnr i le ✓ vzna 1 of <br />