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�i <br /> �UOIA ANALYTICAL 680 Chesfaeake Drive• Redwood Coy, CA 94063 • (415) 364-9600 FAX(415 64-9233 <br /> ❑ 819 West Striker Ave • Sacramento, CA 95834 • (916) 921-9600 FAX 916 921-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM- Concord, CA 94520 -(510) 686-9600 FAX(510) 686-9689 <br /> Company Name �� Project Name <br /> Address 4Z401 A LE3P.�.-A C Billing Address ( d different) <br /> City C)f, ~ State (f-!L Zip Code 61-4-1533 ` <br /> Telephone O 00 FAX# PO # <br /> U <br /> ,Report To t.) kampler]16;rl -PC-ALr,QC Data Level A(standard) ❑ Level B ❑ Level C ❑ Level D <br /> Turnaroun 10 Working Days ❑ 3 Working Days U2 -81-lours ❑ Drinking Water [Analyses Re nested 0- <br /> Time: <br /> Time: ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours \N s ❑ Other <br /> • Client Date/Time Matrix #of Coni Sequoia's <br /> Sample I D Sampled Desc Cant Type Sample# �? Comments <br /> o <br /> 2 - �g \'A, <br /> 3 a <br /> a� <br /> } <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> Q <br /> 3 <br /> 8 N <br /> 9 � <br /> .0 <br /> • 10 <br /> Relinquished By Date Time ���J Received By �. )PI 1t '�� Date Time (V 0 <br /> Relinquished By X1,rt J , Date l- Time J5 s Received By _jk Date ) 1 Mme � - 5 <br /> ' O <br /> « <br /> Relinquished B Date ! Time Received By Lab; 1 }a Dale '' i� 1 ime / <br /> Were Samples Received in Good Condition .Yes❑No Samples on Ice? Yes 0 No Method of Shipment Page L of <br />