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680 Chesap <br /> Drive • Redwood City, CA 94063 • (415) 364-9600 FAX(415 9233 <br /> S 1 _ UOIA. ANALYTICAL > d <br /> 13819 WestStri�`er 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: PProject N ame: U i IC '1 `Z-i �l l TL 10\3 <br /> Address: a Y2 Lt,�pp t „rrvP� v,ta Billing Address ( if different): ALPaRAS <br /> City: 5�,>j-3 a State: Cil Zip Code: O�6kk$ ��� ti�� ��, a .0 •�, <br /> Tele hone: 4 FAX#: kap Zt,04- P.O. #: <br /> Re rt To: cam, G raR�tsav-) Sam ler: .D : At,A OC Data: Level A dt ❑ Level B U,Level C ❑ Level D <br /> x <br /> Turnaround 10 Working Days ❑ 3 Working Days ❑ 2 - 8 Hours' ❑ Drinking Water ; [Analyses Re uested a- <br /> Time: ❑7.Working Days ❑ 2 Working Days ❑ Waste Water <br /> L115 Working Days ❑ 24 Hours ❑ Other <br /> Client Date/Time Matrix #of Cont. Sequoia's <br /> Sample I.D. Sampled 'Desc: Cont. Type Sample # �(Q� C y ? Comments <br /> NZIS I moi`}' o <br /> 317S 9A- U <br /> � <br /> X <br /> 3. I✓11� 1 4.0 — <br /> dLl <br /> 4. W 31Z� 3 } <br /> 1 ,Gd <br /> 5. "V3 <br /> 6. ISI W '” 5 2:16 ^ . <br /> I 7 <br /> 8. <br /> Cr <br /> 9. <br /> i L <br /> 10. <br /> i <br /> Relinquished By: Date:' Q Time: Received By: Date: Time: <br /> %lq t3 <br /> I Relinquished By: . Date: Time: Received By: Date: Time: <br />( <br /> Relinquished By: 1 Date: Time: lReceived By La l Date: ime: <br /> Were Samples Received In Good Condition? Yes 1A No Samples on Ice?"Yes U No Method of Shipment_____ Page L of <br />