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OQ <br /> UOlA ANALYTICAL 14 819 Wester Ave • Sacramento, CA 958340 (916) 921-9600 FAX (91�1-0100 ti <br /> (D ❑ 680 'hes e Drive- Redwood City, CA 94063 • (415) 364-9600 FAX(4 t 4 9233 , <br /> wo CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (510) 606-0689 ' <br /> CBilling Address d different)ompany Name Cj -� (11��� ..� f _�, r, y Protect Name Z- <br /> // l <br /> ( <br /> Address �f� �7 � - � �G,, {- �, �, _ � - ' <br /> Ctly C"' � Statet_ Zips Code `v-1,5- J r <br /> Telephone `i/ - �. ?/--�� 353 FAX# ` ' %- /`� ' P Q # <br /> r , <br /> ,Report To 9/r 5, ISampler .51/�— , :. 71 r <br /> Turnaround Time: 10 Working Days ❑ 3 Working Days 02 -8 Hours [—Analyses Re uested i� <br /> ❑ 7 W rking Days ❑ 2 Working Days <br /> ❑ 5 Wo Days ❑ 24, Hours ; t <br /> Client Daternme Matrix #of Cont Sequoia' � a <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> p.�� <br /> 2 I <br /> 3 cu <br /> t <br /> 6 <br /> a s cu <br /> 7 <br /> n <br /> 8 <br /> ' ar <br /> L <br /> 9 �= <br /> r <br /> Relinquished By �-- Date <<�l� Time;Z 4IJ Received 8; ,fie Date ��j r �z Time <br /> Relinquished By `� "`- ~ bate Time Received By Date Time, <br /> Relinquished BY Date ITIMe Received By Lab Date Lima <br /> Were Samples Received in Good Condition'❑Yes❑No Samples on Ice? Q Yes Q No Method of Shipment Pago 01 _ <br />