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�OWAWL ATE � 6' <br /> ve 8 1WamMCA � • ( FAM <br /> M16)FA6) A= M <br /> /`1 U 404 N Wiget La Walnut Creek, CA 94598 * (925) 988-9600-FAX (925) 988-9673 <br /> AIN OF CUSTODY G 1455 McDowell North, Suite D - Petaluma, CA 94954 * (707) 792-1865 FAX (70 92 <br /> �/ -0342 <br /> U 1551 Industrial Road * San Carlos, CA 94070 * (650) 232-9600 FAX (650) 232-9612 <br /> Company Name—7 , - "� ��A Project Name 1,9 CSL C <br /> Mailing Address 617.3 Cry , W" Billing Address (if different) <br /> City_ State '[mss. Zip Code eiS242— <br /> Telephone+ <br /> 3t--I- 0447- FAX # _ a z- PQ # <br /> r � <br /> Q1 <br /> Report ToL � � SampTRr-- QC Data bevel D (Standard) U Level C U Level B U Level A v <br /> �c <br /> Turnaround A4 10 Working Days U 3 Working Days ❑2 -8 Hours U Drinking Water Analyses Requested � <br /> Time u 7 Working Days 0 2 Working Days 'Waste Water d <br /> U 5 Working Days U 24 Hours Jd Other a� <br /> Client Date/Time Matnx # of Cont Sequoia's �'�" �Q� <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> C•5"-1a Z_� vo <br /> 1 0 l ff •I ` Cn\ <br /> 2 1�-S'-f 1+�1 �1\ CT <br /> C <br /> 3 <br /> 4 <br /> 56- s--3o <br /> 7 <br /> O <br /> :3 <br /> 8 C- 5' //s'SCr <br /> 10 i� io 3 014 X <br /> Relinquished By Date ` Time 11355- Received By Date/� Time �f <br /> Relm(JuIshed 3yDate/ Time � Received B/ Dated �j Time <br /> _ --- - - -Relinquished By Date Time Received By Date Time <br /> Www S�anples Received in Good Condition? U Yes U No Samples on Ice) U Yes U No Method of Shipment _ _ Page of <br />