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LVA "W YT 0 C e• Redwood ,CA )364-9800 F 4f4-923CHAPN QF G�STaDY a 819 Wes triker Ave • Sacramento,CA 95834 -(916) 921-9600 FAX(9 -0100 <br /> ❑ 1900 Bates Ave , Suite LM -Concord.CA 94520• (510) 686-9600 FAX(5 10) 686-9fi89 <br /> rdd <br /> pany Name ( Prosect Name A- <br /> ress t-7,O• Billing Address( d ddlerent) <br /> Cdy ,�'ib C-0)1v State C/}- Zip Code 41S70 r <br /> Te!vLione 30 –771-ULp FAX# Sj#%,t _ P O # <br /> Re22rI To iSampler QC Data *4 Level A standard) ❑ Level B ❑ Level C ❑ Level D U <br /> Tu1M8r0und*0 10 Working Days ❑3 Working Days U2 -81-lours ❑ Drinking Water Analyses Requested[ ,u <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑ Wastewater <br /> ❑5 Working Days ❑24 Hours ❑ Other <br /> Client DataMme Matrix #of Cont Sequoia's �`� <br /> Sample I D Sampled Desc Cant Type Sample# �` Comments <br /> 1 tkw V o4 57OA-: X xCd <br /> a <br /> 2 u� <br /> 3 <br /> Q <br /> Y <br /> 4 <br /> 5 <br /> 6 <br /> 7 5 <br /> 8 m <br /> co <br /> 10 <br /> 3 <br /> Relinquished By L„, Date iZ t Time 2 ;1 Received By Date Time <br /> Relinquished By Date Time Recerved By Date Time <br /> Relf unshed B Date Time Received B Lab Date ime I 4 <br /> Were Samples Received in Good Condition?O Yes❑No Samples on Ice? U Yes 0 No Method of Shipment Page—011— <br />