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Iii AI LY�Af 30Stn�ve , 8 • me A • {J 21- FA ) 9V <br /> ❑ 404 N Wiget Lan alnut Creek, CA 94598• (925) 988-9600 FAX (925) 988-9673 <br /> VW- CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954• (707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road• San Carlos, CA 94070• (650) 232-9600 FAX (650) 232-9612 <br /> Company Name 7=-- ar Profect Name S� g UC-4-1 ToN <br /> Mailing Address q.6as Porcr to r , Billing Address (if different) <br /> City (!0 State C44 Zip Code Z� W 1? 1� <br /> Telephone 925.2,60 z�A t-7 FAX# 4ZT,Zgg "I PO # <br /> U <br /> ReportTo � �� Sampler V.Pd QC Data p Level D (Standard) ❑ Level C ❑ Level B © Level A , <br /> T>urnarond 10 Working Days ❑3 Working Days El2-8 Hours El Drinking Water Analyses Requested <br /> Time El Working Days ❑2 Working Days ElWaste Water � � a <br /> ❑ 5 Working Days ❑24 Hours 13 Other <br /> �� <br /> Client Date/Time Matrix # of Cont Sequoia's '4 Z: `"� <br /> Sample I D Sampled Desc Cont Type Sample# , � r Cha Comments <br /> Rcr o Pu2�,��E <br /> i VA— j SOIL SLaws r V ✓ ✓ N+oro�cori8o�5 2,7 `� <br /> 0 <br /> pcs o a,�y Ab�.c Cr <br /> 2VA-2--7,i IOU> OZA V1 ✓ W,gvaoc, iz4&vt 5 ai <br /> 0 <br /> 4 VA-4--!S !r r�' �' 04ri ✓ V ✓ V <br /> 5 V -57~j Z 05A ✓ W <br /> 61IA70'1;5 tucs Sol(, noo- <br /> ti <br /> 7 `� O <br /> 7 <br /> Cr <br /> 8 N <br /> 9 <br /> 10 <br /> Relinquished By Date dI o9 Time Recei -Time <br /> Reltpquished By Date Time Receive 3y 138118 Time <br /> : <br /> Relinquished By ate Time Receive y b DA/l/." Timeoq 00 <br /> Were Samples Received in Good Condition? ❑Yes ❑No Samples on Ice? ❑Yes 0 No Method of Shipment Page—of,_,._, <br />