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�j\ U IAS mic r� � � M w <br /> L � ) O ANALYTICAL g$g Striker AvChesapee , Suite 8 Sacramento,od l , CA 94063-CA 95834• (916))921 9600aFAX FAX (916) 9250) 64-.JJr <br /> E 0100 <br /> W CHAIN OF CUSTODY ❑ 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D• Petaluma, CA 94954• (707) 792-1865 FAX (707) 792-0342 <br /> lCompanyName 1b Co Project Name <br /> Mailing Address Vq If5Billing Address (if different) <br /> Cityfmcramenin State dip Code <br /> Telephone FAX # P0 # c <br /> m <br /> Report ToLintlampler OC Data ❑ Level D (Standard) ❑ Level C ❑ Level B ❑Level A U <br /> Y <br /> Turnaround ❑ 14 Working Days ❑3 Working Days ❑2 -8 Hours ❑ Drinking Water Analyses sed <br /> Time El7 Working Days El2 Working Days Ela_Waste Water 1 <br /> ❑ 5 Working Days ❑24 Hours S ❑Other <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> e© K oog <br /> 0 <br /> z <br /> 2 Cr <br /> 3 Q <br /> 4 } <br /> 5 <br /> 6 <br /> 7 PIS 4- 0J)JAI.L� <br /> 4 <br /> 8 <br /> 9 <br /> q r"J <br /> 10 <br /> Relinquished By Date Time Received By 0 Date Time <br /> Relinquished By Date Time Received By �Y, s= Dater '� Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑No Samples on Ice? 0 Yes ❑No Method of Shipment Page_of <br />