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4 AUOIA ANALYTICAL 680 Chesapeake 0 • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9216 <br /> U 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> WO CHAIN OF CUSTODY U 404 N Wiget Lane •Walnut Creek, CA 94596 + (925) 988-9600 FAX (925) 988-9673 <br /> U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name A TC, AssgC�cJc s Ln(_ Project Name We, RQattt4 6 FW1, pool --- <br /> Mailing Address 1 Z G a Billing Address (if different) <br /> City 'AQiALS{ rj Stale Q-0, Zip Code QS351 <br /> Telephone Z00y 5 79-ZZZ FAX It 7C7r1- 57g-222 PO ff v <br /> Report To Sampler CC Data Level D (Standard) U Level C U Level B U Level A v <br /> Y <br /> Turnaround 0 Working Days U 3 Working Days U 2 8 Flours U Drinking Waller Analyses Requested <br /> a <br /> Time U 7 Working Days U 2 Working DaysU Waste Water <br /> U 5 Working Days U 24 Hours _7 t L&ier Q`� <br /> T} � <br /> CJ <br /> Client Date/Time Matrix It of Cont Sequoia's �, �� <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> '4 gc1MI ojtat fj�Q}�( MTBE <br /> 5 m <br /> \m i� zj <br /> 2 M� -- ` z 25 — — — ✓ -� Y ops b la . <br /> _3 MVS to __JIM 3 <br /> o <br /> TTLC ex cJ s } <br /> 4 Myj _� 120CO) ° i X �T�-c <br /> -bYuru� s�,'�1 bk �r��3 U� �1 fruh <br /> 5 G V y n �,I ! 3 � � L yl3-V V/ S L 0- <br /> 6 <br /> 7 O <br /> or <br /> 8Cl}) <br /> 4l <br /> 9 <br /> i0 <br /> Relinquished By �,��y�, Date 0911 $ Time *0 Received By wit 0 Date %- (1- Time /&(90 <br /> Relinquished By Date Time Received By Date Time <br /> n r <br /> t Relinquished By ' Lb b� Date Time ( *J Received By Lab Date CT f(� Time 41 Cal <br /> Were Samples Received in Good Condition? i`1 Yes U No Sarnples on Ice? Zes U No Method of Shipmenl_uq'4 L___ Page I of <br />