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` t�oiUV1H HIVHLx IIL.HL <br /> ❑ 404 N Wiget L � •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> HAlN OF CUSTODY ❑ 1455 McDowellI I North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (7 2-0342 <br /> ❑ 1551 Industrial RUad San Carlos, CA 94070 (650) 232-9600 FAX (650) 232-9612 <br /> Company Name -r( ASSoG►Cl SLn G Protect Name � 1 6268 L O 00 <br /> Mailing Address 111-Z LOne j9 Billing Address (if different) <br /> CityState Zip Code qs j <br /> TelephoneZO FAX # PO -�7-7- c <br /> - ZZ �-57 # y !J C ���� LD <br /> Report To "� v Yii� Sampler f OC Data Level D (Standard) Cl level C ❑ Level B ❑ Level A v <br /> x <br /> Turnaround X,10 Working Days ❑3 Working Days ❑2 - 8 Hours D Drinking Water Analyses Requested c <br /> a. <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours 9,01hei-6, #j <br /> Client <br /> Client Date/Time Matrix # of Cont Sequoia's ,L�� /meq 4, Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 40 M1 <br /> 1 KAT fk E <br /> 2 M — l�:)tl S V/ � ✓ c�e�ec��04. �t+v. 4s <br /> m <br /> 3 M 1J- 1�3 x/ ✓ 3 <br /> 0 <br /> 5 <br /> 6 r I � <br /> 7 0 <br /> aD <br /> 8 cn <br /> 9 <br /> 10 <br /> Relinquished By � Date 03 Zq 00 Time 1,f UCS Received By ( Date 3` y - Time <br /> Relinquished By Date 3 z y v t Time �L • Received By Date Time �l�Z <br /> Relinquished By Date Time Received Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑No Samples on ice? Kes ❑ No Method of Shipment ' Page / of i <br /> mar, ' <br />