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U 885 Jarvis Drive • rgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> ,�D9UOIA ANALYTICAL 819 Striker Ave , 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-010 <br /> U 404 N Wiget Lane alnut Creek, CA 9459B • (925) 988-9600 FAX (925) 988-9673 <br /> CHAIN OF CUSTODY U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Project NameCom <br /> Company Name <br /> 3 <br /> Mailing Address Billing Address (if different) <br /> Citya State Ct Zip Code <br /> Telephone Z tic, w _ Z 2 FAX # �- t>'7� . �Z PO # <br /> Report To W ewl 40rnSi- Sampler �E� QC Data XLevel D (Standard) U Level C ❑ Level B Q Level A U <br /> Y <br /> Turnaround i-10 Working Days C] 3 Working Days U 2 -8 Hours U Drinking Waler Analyses Requested <br /> Time U 7 Working gays U 2 Working [lays U Waste Wafer <br /> U 5 Working Days ❑24 Hours <br /> Client Date/Time Matrix # of Cont Sequoia's ��k 4, Comments <br /> Sample ! D Sampled Desc Cont Type Sample # r>(� �r !� <br /> s <br /> 2 wfVVI <br /> — 6 <br /> (n <br /> I _ _ _ o <br /> cA <br /> 5 <br /> 6 <br /> 7 <br /> 0 <br /> --- — n <br /> i7 <br /> $ J) <br /> 9 r <br /> 10 <br /> Relinquished By .( � _k'�� � Date _ Time Received By Date 61Z j Time 0 ! -- <br /> 1 y ' 6123 Ur155 y �.3 /U'� <br /> Re4inr nist'rt d B � Date Time — Received B Date Time <br /> 44 --- <br /> Relinquished By Date Time Received By L Date Time <br /> i <br /> Were 13aisiplt s l teceivad in Good Condi lion? i J Yes I-A No Samples ori Ice? 0-yos i J No Method of Shipment �(���'!"/C�! Page I of <br />