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SJWUOIA ANALYTICAL ��Gt30 ChesapDr,ve • �lerlwood City, CA 94053 • (spa) 354 9500 FAX (650)J-000 <br /> 233 Y <br /> � CHAIN OF CUSTODY U 819 Stiiltei Av Suite r3 • Saeiar„er,t0, CA 95834 • (9,5) 92,-96aa SAX (9 l5) <br /> iJ 404 N Wigel Lane • Walnul Creel, CA 94598 • (510) 988-9600 FAX (510) 988 9613 <br /> Company Name TRIII Eli&S l- L'��7j� - Pio4etl Name - _ 9 �J5 a� - p j - -- -- -- - - ---- <br /> Address lexaco Loc # 625640276, 440 W Charter Way Billing Addiess (it dilleient) 108 Cuc.l itIg ISoulevard <br /> City Stockton — Stale -CA— _ Zip Code - Riclru,onct_, California 94804 <br /> Telephone (510)236-3541 FAX It (510)237-787.1 PO tl <br /> Repo+t To Ueidre Kerwin (81S) Sampler S QC Dala U Level D (Standard) U Level C U Level B U Level A U <br /> Turnaround Ut0 Working Days U 3 Working Days U 2 © 1 tours U Drinking Water FAnalyses Requested <br /> Tlr>te U 7 Working Days U 2 Working Days U Waste Waterorb rya/// 1 <br /> iJ 5 Working Days U 24 Hours U Olfre+ 4�� 21 2 <br /> Client Date/Time Matrix If of Coad Sequoia's 1b � ��4 �. a�'� pati / Comilleilts <br /> Sample I D Sampled Desc Conl lype Sample fl 4 g <br /> `M�` � T f2 -------- --- - - - - - -- - - ----- _ -- - - - - ----- <br /> WC <br /> �w- �- 3 - --- - -_---- - - -- --- - -- -- -- <br /> O <br /> 0 A-t Q, <br /> U} <br /> t0 MV1 -\b 1��•�� <br /> Relinquished By - - Dale�4e, I ime I1:Z5 Received By -�-- - - DaIe,ZG/ff IIIiie <br /> �gtrnquished By /rte �� Lx �'/ 1 inre -- Received By <br /> Dale <br /> %`k""quished By Date lime Received By LabJ%t '- Date Tine <br /> N Received in Good Condition? LJYes IJ No Samples on Ice? LJ-Yes U No Meli+od of Sluprnenl _ 5 Papa nl <br />