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1 � <br /> man ~68 sa Dnim Redwood CA 9406 650 -960 FAX (650) 0233 <br /> t ' IA ANALYTICAL <br /> QUO O Sig Striker*Suite, Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 � <br /> CHAIN OF CUSTODY U 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name -p. L,. 7 C _ sec Project Name <br /> AddressG z3 csJ.M ort,,. &," Billing Address (it different) <br /> City Lo o r State C4 Zip Code el 5 2A <br /> Telephone _54A -o z FAX # yes _ 349 _a PO # n <br /> Report To +J`, Sampler 04 01 OC Data Level D (Standard) U Level C U Level B U Level A v <br /> Turnaround 6"0 Working Days O 3 Working Days U 2 - 8 Hours U Drinking Water Analyses Requested <br /> rZ <br /> Tlme U 7 Working Days 0 2 Working Days �3Vaste Water �< <br /> U 5 Working Days U 24 Hours 00ther ti <br /> ' <br /> Matrix # of Cont sequoia's �'�'� y <br /> Client Date/Time 4 �Q � /h Comments <br /> Sample I D Sampled Dese Cant Type Sample # <br /> 11-7# no Sir♦ "si <br /> i9spirs. --Q1 <br /> I o <br /> zi <br /> Cr <br /> 2 -3 it / 1 can' <br /> 3 A0 <br /> 5 C-3, 3oCT <br /> ---- e <br /> 9 <br /> 0 7 d4 Ll <br /> I10mciuished By (�� �' Date 12-1� Time jOK Received f3 tet�li �� Time <br /> — ---- <br /> Relinquished By -----— Date Time Received By Date ---- — fungi <br /> Relinquished By Date Time Received By Lab Date Time —N <br /> Wei o Sampius Received in Good Condition*7 U Yes U No Samples on lr r,? U Yes U No Meihnd of Shipment Riot, c,f <br />