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` ❑885 Jarvis Drive • tkgan Hili, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> S&UOIA ANALYTIC 1`j Striker Ave., . 8 • Sacramento, CA 95834 • (916) 921-9600 FAX 916 921-010 <br /> AL ❑ 404 N.Wiget Lane alnut Creek CA 94598 • ( )cz_ CHAIN OF CUSTODY (925) 988-96( FAX 2-18 FAX <br /> (7 <br /> ❑ 14.15 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • 707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name: Project Name: v <br /> `�► rLo <br /> 1 _ s may. z z. oao <br /> Mailing AddrE.ss: 1 h Billing Address (if different): <br /> City: State: C44— Zip Code: <br /> Telephone: r FAX #:20_ 579-ZZs- P.O. #: �- <br /> c <br /> =Report v Sampler: L 7t. S <br /> QC Data: 'Level D (Standard) Q Level C Q Level B ❑ Level A U <br /> Turnaround j<0 Working Days 113 Working Days ❑2 inking Water Analyses Requested Y <br /> Time. J 7 Working Days 16 2 WorkingDas d <br /> Yaste Water <br /> J 5 Working pays 0 24 Hoursher <br /> pSamplel,D. <br /> t Date/Time Matrix # of C <br /> Sampled Desc. Cont. T ,� Comments <br /> 10S� LJ 42 <br /> mICA s SL ✓ I I <br /> 2. o <br /> tT <br /> 3. <br /> is"V,. <br /> 4. <br /> 5. <br /> 6. <br /> AY <br /> 7. �y77 <br /> *1 <br /> cr <br /> 9. <br /> 10. <br /> Relinquished By: ate: Time: Received By: Date: <br /> Time: U$. <br /> Relinquished BY Date: Time: Received B - I W �U S <br /> Y Date: ( Time: <br /> Relinquished By: Date: Time: Received By Lab.- Date: Time: <br /> Were Samples Heceived in Good Condition? lU Yes ❑No Samples on Ice? 614bs U No Method of Shipment__bL16 11_ Page 4 of <br />