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JC�IU� L � U eke =• RMod C�A tW•(464-Mg FA 5' - 233 <br /> VV DRAW OF CUSTODY ❑��7179Sfink e , Suite 8• Sacramento, CA 95834•(916) 921-9600 FAX (9,_, 21-0100 <br /> t1�" 404 N Wiget Lane • Walnut Creek, CA 94598 - 0110) 988-9600 FAX (510) 988-9673 <br /> Company Name Project Name <br /> Address <br /> ary Billing Address ( if different) <br /> St - < ` <br /> ' <br /> GL ate C dip Code It-SzI <br /> Telephone FAX # _ ) P O # <br /> Y <br /> iwl a, <br /> Repo <br /> rt ToLDSam lerti tA QC Data ❑ Level D (standard) ❑ Level C ❑ Level B ❑ Level A eJ <br /> Turnaround 91OWorkingDays ❑ 3 Working Days ❑ 2 -8 Hours ❑j DrinkingWater <br /> Ana ses Re ndTime LJ 7 Working Days Ll 2 Working Days ❑ Waste L <br /> Water .. a <br /> ❑ 5 Working Days ❑ 24 Hours <br /> ❑ Other � <br /> Client Date/Time Matrix #of Cant Sequoia's <br /> Sample I D Sampled Desc Cont Type S mple <br /> Comments <br /> -1 AVE <br /> 2 AVJ _zA 809154 <br /> 3 JA 1k) - r7 til 3 410xL 80915 <br /> _o <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 a <br /> Cr <br /> 9 <br /> 10 <br /> Relinquished By Date q <br /> ZQJqt Time Received By Date <br /> Relinquished By Date Time Received By Date Time <br /> I <br /> Re1m uysheti B Date ITime Received By Lab i Date Mme l <br /> Were Samples Received in Good Condition?Q Yes❑ No Samples on Ice'? YYes IJ No Method of Shipment Page of <br />