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MM M mm M I� M M M M M I• MLn � <br /> ❑ 680 CheSaM Dove•Pke*"od City,CA 94063•(415)364.9600 FAX 415)38 33 <br /> UOIA ANALYTICAL ( r <br /> Q 819 West Striker Ave.•Sacramento,CA 95834• (916)921-9fi00 FAX($,6)921-0100' <br /> CHAIN OF CUSTODY ❑ 1800 Bates Ave..Suite LM•Concord,CA 94x20-(510)886-NW FAX(510)598-9689 t <br /> Company Name, Project Name Ahs s SLS J <br /> P 4 M&f& <br /> m $'V V* . Address t I dmewd): <br /> P.O . <br /> th►• S''i�4Cf`D state G� ZipCotle gh'Zo$ { <br /> Te e Z — 72 --34 Z o FAX#- 5�.�. P.O.#' U <br /> R rt To . C.�.c v� K 5 r. ;— QC Data Levet A ❑ Level B C]Level C ❑Level D <br /> m Turnwound Vf10 Waking Days Q 3 Wodit flays ❑2-8 Flours O Dd*bV Water lAnalyses Requestedlw <br /> Time: 13 7 Working Days d 2 Working Days ❑ Was1e Water <br /> Q 5 Working Dap 24 Flours ❑ Other <br /> Client DateJTtme Mgw ll of cofa. Sequoia's <br /> Sample t D Sampled Desc Cont Type Sample# 'q Comments , <br /> ,. Afro w-* �? l r►1 �. yob- a <br /> cn 2 w—Z— <br /> U Mt,f L <br /> 3 �i <br /> T '�) i X61. i .. ) Ca.� 1 Si�> i <br /> W <br /> y Vii' <br /> 3- e <br /> afters` 11 E + i <br /> 7 `��� �� e f 4 z`r • L; i,# sF € t� 3 # 4" $ s& Fr ° "�s a�• �i f <br /> O <br /> r '�$q�(� �3 f3' _ s 3('x0 t,�j?� � hw �! a .. Y S� 'i'* f $7�Y�•f �t IXn� <br /> 8 <br /> m ' <br /> an <br /> 10. <br /> ReNrlqui5tlecy By Date. Tlme 3:3b Received By / Date•j rime � <br /> Relshed By - �� — Date me { Q Received By Date me- <br /> - � t <br /> Rel uished a. Dale Recelwl By Lal & Dale <br /> Akh6 lyb7fy�&—i <br /> Were Sampies Received in Good Condition?a Yes 4 No Samples on loe? 0 Yes 0 No Method of Shipment Page_of <br />