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OUOM ANALYTICAL "0 Chesapeak ve • Redwoo ity, CAIM63 . 650) 364-9600 �G50) 364- <br /> , ❑ 819 Striker Ave , e 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01 <br /> V/ CHAIN OF CUSTODY ❑ 404 N Wtget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> D 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name ATC. Ass f;C�Af!, . Protect NameT, U 5 b. o �� <br /> Mailing Address ��,``j 7kjC <br /> Billing Address (if different) <br /> City 10 State C-011- Zip Code 9 535 <br /> Telephone Zoq _ 57�_ z-Z� FAX # ��}�-T�-"7oJ _ Z� PO # <br /> a� <br /> Report To Sampler r QC Data "vel D Standard D Level C ❑ Level B ❑ Level A U <br /> �ti� All p 2Kl- ��a (Standard) <br /> Turnaround, 0 Working Days J 3 Working Days Q 2-8 Hours U Drinking Water �^ Analyses Requested <br /> (l [ <br /> Time D 7 Working Days U 2 Working Days ❑Waste Water <br /> Ple r � <br /> � Q v <br /> :15 Working Days D 24 Hours ther ,� <br /> Client Date/Time Matrix # of Coni Sequoia's \y� �30 Comments <br /> Sample I D Sampled Desc Cant Type Sample # <br /> 1 mw -2 V\ as` pf ,� v/ <br /> a <br /> D <br /> 2 <br /> U) <br /> 3 0 <br /> r <br /> 4 <br /> 5 <br /> 6 OCIMO)MAWN14 Ll <br /> r�- <br /> 7 T <br /> 0 <br /> er <br /> 8 cn <br /> a� <br /> 9 <br /> 10 <br /> Relinquished By Date Time Received By e ���, / Date 7- -,9z7 Time <br /> Relinquished By �� „� J � Date -7-9`72 Time / l/ yQ Received By Date Time <br /> Relinquished By Date Time Received By Lab Date 2 '1 Time 5 '� <br /> Were Samples Received in Good Condition? J Yes J No Samples on Ice? i es U No Method of Shipmen ov—tPage of <br /> t 1 <br />