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C1 885 Jarvis Drive •Morgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-630$ :r <br /> , <br /> UOIA ANALYTICAL 19 Striker Ave., ; ,;� • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01 <br /> ❑ 404 N.Wiget Lanev`'Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> 1W CHAIN OF CUSTODY ❑ 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 /> Company Name:AR, Project Name:si tcvl vl S01$4111 0i "u 1 <br /> Mailing Address: 111 1 1-0 Billing Address (if different): <br /> City: �A nA P 4 State: zip Code. 9"T <br /> Telephone: _ � � FAX#: 70 _ 5 7V—ZZZ!9' P.O.#: <br /> Report To: Sampler: lax 7'1 eS, OC Data: ,&,evel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Y <br /> Turnaround X10 Working Days 113 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses Requested <br /> CL <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours K0ther6 ' <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> 40 M11 <br /> I-GT `3U''- L11 V/ <br /> 0 <br /> U) <br /> 3. 11x1 VJ 13 ! t! ✓ <br /> 0 <br /> 4.5. <br /> 1't - l ✓ <br /> �! <br /> 6. <br /> 7. m <br /> -o <br /> 8. cin <br /> w <br /> 9. r <br /> 10. <br /> Relinquished By: Date:. �_r6/ Time: Received By: Date: 7 i "' Time: 3 •'z f� <br /> Relinquished By: Date: -7- Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: i Received By Lab: Date: Time: <br /> Were Samples Received in Good Condition? ❑Yes 0 No Samples on Ice? .Yes ❑ No Method of Shipment �ror Page—L of <br />