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J � <br /> /If%dMUM C�0 C aloe • oocTL'i1y, CA63 + ) 3004 4923 <br /> ❑ 819 Welter Ave • Sacramento, CA 95834 • (916) 921-9800 FAX 91 _.,11-0100 <br /> HAIN OF CUSTODY ❑ 1900 Bates Ave Suite LM • Concord CA 94520 •( ) { - <br /> I <br /> � a [510) 886-9600 FAX (510} 686 sss9 <br /> Company Name - V 1 Protect Name L <br /> AddressJGQ Zlz Billing Address ( d d erent) <br /> City State Ck Zip Code 15d I� <br /> Telephone FAX# —1 P O # m <br /> U <br /> ,Report To �, G r ti� Sam ler C �,4ro QC Data Level A(standard) ❑ Levei B ❑ Level C ❑ Level D <br /> Turnaround" 10 Working Days ❑ 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water Anal ses Re nested <br /> Time: ❑ 7 Working Days ❑ 2 Working Days ❑ wastewater <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other <br /> Client Date/7ime Matrix #of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> MLJ - 3 '05 ci6 W Z. Von, <br /> rr <br /> ot/0 Y CA <br /> 3 11-1 L g <br /> 4 Vi G11 <br /> 5 NI - <br /> 6 ("IO <br /> 7 Y <br /> 8 V�--I S�,�Al Atm 1 �r�r19r o <br /> Cr <br /> m <br /> 10 <br /> Relinquished By - Date 10 Time ��}- Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Reli cashed By Date Time Received B Lab Date rime - 5 <br /> Were Samples Received in Good Condition?0 Yes 0 No Samples on Ice'? 0 Yes 0 No Method of Shipment Page^of <br /> I <br />