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U 885 Jarvis Drive-'R organ Hill, CA 95037• (408) 776-9600- FAX (408) 782-6308 <br /> U819 Striker Ave ,JW 8- Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0 <br /> iz UOIA ANALYTICAL U 404 N Wiget LarNMainut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> qW C AIN 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 /> Company Name ego. Protect Name <br /> Mailing Address �1�3?J Billing Address (if different) <br /> City State Zip Code <br /> Telephone FAX # PO # <br /> Report To Sampler OC Data *Level D (Standard) ❑ Level C U Levet B ❑Level A v <br /> Y <br /> Turnaround l "'15 Working Days U 3 Working Days U 2-8 Hours U Drinking Water Analyses Requested <br /> o_ <br /> Time. U 7 Working Days U 2 Working Days U Waste Water <br /> U 5 Working Days U 24 Hours U Other ¢Z <br /> Client Date/Time Matrix # of Cant Sequoia's /W Comments <br /> Sample I D Sampled Desc Coni Type Sample # Vj <br /> 7/00 <br /> 2 Trip -� Cr <br /> 3 <br /> } <br /> 4 <br /> 5 <br /> 6 <br /> V <br /> 0 <br /> 7 3 <br /> Cr <br /> - W <br /> w <br /> _ t <br /> 10 FT I <br /> Relinquished By � ate ,/� Qt Time ! Received By Date __- Time - -_ <br /> Relinquished By — _ Date - -- TT Time _ Received By — Date Time------ _ <br /> Date <br /> Time Received Ry� Date Timee � <br /> Relinquished By -- <br />