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UOIA ANALYTICAL ❑ 680 Chesoe Drive- Redwood City, CA 94063 • (415) 364-9600 FAX(415)&233 <br /> 51� 819 West Striker Ave • Sacramento, CA 95834 . 916 921-9600 FAX 916 921-0100 <br /> WO CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM• Concord, CA 94520•(510)686-9600 FAX(510) 686-9689 <br /> Company Name Project Name <br /> Address �� ,3 � c Z Billing Address ( N ddferent) 3 3 `. ,rC <br /> City 5. a t .cam�,r State c y Zip Code `!'S:�cr�' ,� = t.-- •r 2,� 2 <br /> Telephone �,"-7 7 7 z — _z - FAX# S -;t P O # <br /> U <br /> IBM"To VIc. ',- / iSampler -f 14- ��.-� QC Data 3 Level A(swward) ❑ Level B ❑ Level C ❑ Level D <br /> Turnaround/:0 10 Working Days ❑3 Working Days ❑ 2 -8 Hours ❑ Drinking Water <br /> FAn—atyses R uested d <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water ' <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other S S / �? <br /> Client DateMme Matrix #of Cont Sequoias �k` y, r V <br /> Sample I D Sampled Desc Cont Type Sample# �\ ti Comments <br /> i <br /> 0 <br /> Cr <br /> 3 014 <br /> o <br /> m <br /> } <br /> 4 <br /> 6 <br /> 7 V <br /> 0 <br /> 8 t,,J=- Cr <br /> r� <br /> 9 �✓r` f <br /> 10 <br /> Relinquished By /� - �_ Dated Time Received By Date rime <br /> Relinquished By Date Time Received By Date]ZV& <br /> ime <br /> Reli wished B Date Time Received B Datime <br /> Were Samples Received in Good Condition?❑Yes❑No Samples on lce9 O Yes a No Method of Shipment Page _of <br />