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Erf85 Jarvis Drive <br /> organ Hill, CA 95037 • (4013) 776-9600 • FAX (408) 782-6308 <br /> 6 OQUOIA ANALYTICAL ❑ 819 Striker Ave We 8 * Sacramento, CA 95834 * (916) 921-9600 FAX (916) 921-0S <br /> ❑ 404 N Wiget Lane -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> WF <br /> CHAIN OF CUSTODY 0 1455 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 /> f <br /> Company Name ATL A��C �es 1 Y�L- Protect Name v <br /> Mailing Address (�1 Lame pQ�rn Qve ",:,A Q- � Billing Address (if different <br /> City r i I e-sk O State Zip Code A01 I <br /> Telephone 20q- 579- -z2.Z I FAX # pct_ Sr)c� ZZ Z� PO # T) <br /> Report To Sampler OC Data Q-! evel D (Standard) ❑ Level C LJLevel B C1Level A U <br /> x <br /> Turnaround 10 Working Days ❑3 Working Days ❑ 2 - 8 Hours ❑ Drinking Water Analyses Requested C <br /> CL <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours .!-, ther �� k <br /> Client Date/Time Matrix # of Cont Sequoia's !Q' q�� <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> Lio tiA1 �� <br /> 3 1/ <br /> a <br /> 2 MVS ~2. 0435 3 <br /> 1"�Llf—�j bel�#� o <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 c° <br /> 0 <br /> 8 co <br /> a� <br /> 9 'J <br /> 10 <br /> If <br /> Relinquished By �, � 7�- eZL-kj�.✓ Date Time / so Received By d/,,/3 , J Date /z,5aTime 133 eD <br /> Relinquished By Date/Z Time /S-3-5— Received By /t/" Date/2 3r} ri Time L `CEJ <br /> Relinquished By Date Time Received i4-La6 Date Time <br /> Wure Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? W-Yes ❑ No Method of Shipment Cex.; Page I of <br />