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680 Chesawe Drive• Redwood City, CA 94063• (415) 364 9600 FAX (415)&233 <br /> t6UOIA ANALYTICAL <br /> ❑ 819 Striker • <br /> Ave , Suite 8 Sacramento, CA 95834• (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name ATC Project Name �. &t5—,76, cc-c>/ O! <br /> Address 1117 Ave, s Billing Address(if different) <br /> City State r,,X Zip Code <br /> Telephone FAX # ZI67 L5 �Z P 0 # a <br /> Re art To L Sam ler �'GS QC Data evel D (Standard) ❑ Level C ❑ Level B ID <br /> A <br /> Y <br /> Turnaround 10 Working Days ❑ 3 Working Days ❑ 2 - 8 Hours ❑ Drinking Water Analyses Requested a <br /> Time. ❑ 7 WorkinDays ❑ 2 Working Days G� „/ra� ❑ 7th <br /> te Water <br /> ❑ 5 WorkingDas ❑ 24 Hours �i ! �1r <br /> Client Date/Time Matrix # of Cont Sequoia's � <br /> Sample I D Sampled Desc Cant Type Sample# Comments <br /> 1 tAW, J071A q3s W 3 6,1 dLb <br /> Cr <br /> 2 t�l00 ba- n <br /> 3 Mvv'-3 ley 3 ? 6 3 m <br /> 4 1/d` f C/ <br /> 5 wt WI 3 6� l <br /> 6 M 6 1 yd <br /> o <br /> ffwX13 <br /> I, m <br /> I V <br /> fy Date 1ZJgC1ff Time QReceived By rt,,Jyru"f Date I? $ QLD Time 08�-� <br /> 6lrt�cS Date l 9p Time l��{JT1 <br /> Received By Date Mme <br /> ft J , <br /> {� 11i <br /> Date' i Time Received By Lab Date <br /> IAV 1 live In Goo Condition?El Yes Ci No Samples on ice? .es a No Method of Shipment Coug—If Page <br />