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�r rr <br /> X680 Chesapeake • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9 <br /> AEUOIA ANALYTICAL p 819 Striker Ave , Suite 8 - Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> 1W CHAIN OF CUSTODY ❑ 404 N Wiget Lane -Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 -P (707) 792-1865 FAX (707) 792-0342 <br /> Company Name /JT6 AsscG a�S �hC _ Project Name � � Gl <br /> MiA <br /> Mailing Address 121 G� Billing Address (if different) <br /> City lqoe4o State Zip Code <br /> Telephone-W9 ._�- ZZ FAX # xpq-571- 2ZZ,S PO # <br /> Report To Sampler f1, ,5 QC Data JLevel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Turnaround 10 Working Days ❑3 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses Requested <br /> CL <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Wa to Water <br /> ❑ 5 Working Days ❑24 Hours 01y-)?A13 ther <br /> 4L <br /> Client Date/Time Matrix # of Cont Sequoia's ` �` �Or` <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 MV13- t 0%ask - s tl l 15 2-p}a ✓ �. n� <br /> �por (ab arv'i Cr= <br /> jrqp CD <br /> 3 M W 3 «� vJ g ✓ ✓ ,/ a <br /> 4 <br /> } <br /> 5 <br /> 6 <br /> 7 N <br /> 0 <br /> M <br /> 8 cn <br /> 9 s <br /> 10 <br /> �0 <br /> Relinquished By Date Time fVOO Received By Date 03 Time j Q© <br /> Relinquished By Date Time1�Q(� Received By Time <br /> Relinquished By Date im Received By Lab 0006 Date.6' 1 L1 Time 1711D <br /> Were Samp]eS Received in Good Condition) 0 Yes 0 No Samples on Ice? Vies 0 No Method of Shipment _C,pL'-YI N Page i of _3 <br />