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F -, i v f80 ea�Ce Drive•Hedwead City,CA 94063*(650)364.-9600 FAX ( X33 <br /> *, SE ��IA ANA)LVTIeAL p <br /> E-, � G 81 Striker ve Suite A 95834■ 918 921 964(1 FAX 916 92-1-0100 <br /> . � CHAIN OF CE-,S,�.�DY 9 kQ A •te S Sacramento.C ( ) 4 � <br /> U X904 N.Wigel Lane Walnut Creek,CA 94598•(510)988.9600 FAX (540)988-9673 , <br /> Goinparoy i~larne_ Project Narne: ti Qr. <br />� Address: -- ----- - —------. �..._ �- <br /> Bitling Address(il different): <br /> City: ►. �y-r r� Suite- �� Zip Code: <br /> Telephone: - --- FAX #: PO --- <br /> Report To: Sampler: �4 - - - QC Bala: U Lural D(Standatd) U Levet C 0 Level 13 LJt e�;�1, <br /> inn�1 <br /> l Turnaround r1 10 Wark-sng flays U 3 Working Days Ll 2 -8[fours U Drinking Water - -- A1�il�F�eS"�iegrrested <br />� Time: ❑ 71r1rorlcing Days J 2 Working Days U Waste Water <br /> L:t 5 Working Days 4 Hares Ll Qlhes r <br /> Client Dale/Time Matrix #of cont. Sequoia's <br /> y� Cr�roran fits <br /> Salll[le L.D. sample(] Desc_ Cesrtt. Type Sample # 1 <br /> TO <br /> t l� <br /> r <br /> 7. <br /> 8. <br /> 9. <br /> #0 , <br /> - - --- — ----- _ --- -o <br /> nelinquished By: Dale: rune Received By: _ t7ate f irne: ;_. <br /> Y — -------- --- rip <br /> Relinquished By: � ale: Time: Received By: Qals: Time: <br /> Refivtquist d fay: r.. Date: Tin-De: Received By Lab: t3a1e� ;. Time: <br /> Were Samples Received in Good Candiiiaii? U Yes U Flo Samples on Ice? ❑Yes U No Melhod of Shipmerrl_ _ - Page <br />