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❑ 885 Jarvis <br /> ga <br /> Drive • rn Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> izAbUOIA ANALYTICAL K819 Striker Ave , ; 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921 Ot� <br /> Q 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> 1W CHAIN OF CUSTODY U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Ct 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name ATL <br /> Profe(A Name SLS') c 51 9 2 <br /> Mailing Address �1i1 "7 vim Ave Billing Address (if different) <br /> City ,l State C1X_ Zip Code C1�Sar7 t <br /> Telephone Z&,_ �) Z FAX # 2t_1 �]1 -ZZLS PO # E <br /> Report To Sampler QC Data ,Level D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround A10 Working Days CI 3 Working Days ❑ 2 - 8 Hours ❑Drinking Water Analyses Requested <br /> CL <br /> Time ❑ 7 Working Days ❑2 Working Days Cl Waste Water <br /> ❑ 5 Working Days 0 24 Hours )<Dther�,�� [� <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Comments <br /> Sampie I D Sampled Desc Cont Type Sample # q0 <br /> Li �►c�s� LL'�Drj -tj t.� cn <br /> 0 <br /> 2 <br /> 3 0 <br /> r <br /> 4 <br /> 5 <br /> 6 <br /> 7 a <br /> M <br /> iT <br /> 8 m <br /> 9 <br /> 10 <br /> Relinquished By �t ,1 Date Time Received By ����y- - Date (U l,-I Time c <br /> Relinquished By _ _ Date - , Time ReceivedP - Date t' i�C ,Time . You <br /> Relingiiished By Date Time Received By Lab Date Time <br /> 1 <br /> Were San iplps Received in Good Con(lition? U Yes UNC) Sample,, on Ice'' Al Yes -] No Methori cif Shipment C,,,` , V Pane I of 1 <br />