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W885 Jarvis Drivwworgan Hill, CA 95037 • (408) 776-91bOU • F-AA (4Ub) /b2-bJUd <br /> 11819 Striker AveRpite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0� <br /> j OQUOIA ANALYTICAL ❑404 N Wiget Lane•Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> 1W CHAIN OF CUSTODY El 1455 <br /> Blvd • A 94954. 707 792-1865 FAX 707) 792-0342 <br /> ❑ 1551 IndustrialRoadRo d North, Petaluma, <br /> Carlos, CA 94070 (50) 232-9600 FAX (650) 232-9612 • <br /> Company Name ATC Protect Name rxtr. <br /> Mailing Address E y t7Lor+e, Q1,v, 1V •f -1-S Billing Address (if different) <br /> City M QC\ : State 01- Zip Code 535 <br /> Telephone FAX # PO # w <br /> Z©q -S79- Z22.� �9- 579-ZZZ.S <br /> 1t,( <br /> man Sampler se �o re5 QC Data L1evel D (Standard) Level C ❑ Level B ❑ Level A <br /> Report Ta '�j-pm w v <br /> Turnaround o Working Days ❑3 Working Days 0 2 - 8 Hours ❑Drinking Water Analyses Requested <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 12Z8�i9 �� 3 +i foL. + f 11 <br /> e S 5 <br /> 5d w q te, %6 alas D <br /> 2 MW-3 ��o <br /> un��e5ec�� <br /> . _1 IhaJ -7 <br /> 4 W6� r a <br /> 11 b� k�.rs <br /> ILA 6.0.1 <br /> 6 - V,w� . <br /> 1 <br /> 7 0 <br /> 1 Cr <br /> 41 <br /> 8 <br /> y <br /> 9 � <br /> 77 <br /> 10 <br /> Relinquished By )4 jy- , Date Time Received By 6 Date 19 Time lV <br /> Relinquished By Date Time Received By Date Time <br /> i <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑No Samples on Ice? U'le0 s ❑No Method of Shipment ,e Page J of L <br />