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&S85 Jarvis Drive • Morgan Hill, CA 95037 • (408) //b-'9buu • rHx (4vts) ibZ-e.sun <br /> ��� ❑ 819 Straker Ave , � 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01q <br /> ft <br /> ANALYTICAL <br /> ■ ❑ 404 N Wiget Lan Valnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 ^_ <br /> -~ter+ CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> wo ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 ` <br /> Company Name A-F(— Protect NameYbY Q , .E,Z58 .QPQ <br /> Mailing Address Itl'� i.,_One— i ti� Billing Address (if different) <br /> City State Zip Code (ZA <br /> p a) <br /> Tele bane ��_S _ FAX #ZZ2i 2tx?-S'l q-Z ZS PO # <br /> �, U <br /> Report To p L L1��er Sampler � t j0 re- QC Data evel D (Standard) ❑ Level C ❑ Level B ❑ Level A , <br /> Re uested <br /> Turnaround boworking Days El Working Days ❑2 -8 Hours ❑ Analyses Drinking Water Y q a- <br /> Time ❑ 7 Working Days U 2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours L/OtherC7 JAI <br /> V <br /> Client Date/Time Matrix I # of Cont Sequoia's �� �Q� Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> TSE cz�- le5 <br /> 2 MW— 3 1206 <br /> 3 Jr ✓ ✓ ✓ 3 <br /> 0 <br /> 4 <br /> 5 <br /> 6 <br /> 7 ° <br /> v <br /> g o7 <br /> a) <br /> 9 <br /> i0 <br /> Relinquished By Date /2_T o Time /33� Received By yy3 -L��z � Date 1 _2.go Time 13.E c) <br /> Relinquished By L Date 12_ a.99 Time 13-30 Received By </�Yt� Date , Sd CSC' <br /> Time j <br /> Relinquished By Date Time Received,13*-Lab- elf", <br /> Time <br /> Were Samples Received in Good Condition? C1 Yes CJ No Samples on Ice? es No Method of Shipment_ Lune i Page of 1 <br />