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❑ 885 Jarvis Dnvegan Hi CA 95037 (407) 776-9670 - FAX (408) 782-6308 <br /> czUOIA ANALYTICAL ❑819 Striker Ave 8 • Sacramento CA 95834 (916) 921-9600 • FAX (916) 921-Q <br /> 9 <br /> p 404 N Wiget Lane Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 <br /> qi CHAIN OF CUSTODY ❑ 1551 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 • FAX (707) 792-0342 <br /> ❑ San Carlos, CA 94070 (650) 232-9600 • FAX (650) 232-9612 <br /> Company Name Project _ 7��f <br /> Mailing Address 3c/*- Billing Address (if different) <br /> City State -L Zip Code �� <br /> Telephone _ a7©7 Fax# 9,,. 7LS ?�,� P O # Payment Received ❑Yes ❑ No <br /> Report To I E-Mail (Standard) ❑ Level B ❑ Level A U <br /> att1 ;�, OC Data ❑ Level D Standard ❑ Level C <br /> Turnaround ]10- 15 WorkingDays <br /> ❑ 3 Working Days ❑2 -8 Hours Mandatory Sampler IL <br /> Time p 7 Working Days ❑ 2 Working Das p <br /> � g y p Dunking Water a � , <br /> !� p 5 Working Day! ❑1 Working Day C] Waste Water <br /> ff¢/-0� 3 , , ` r ❑ Other <br /> 5 <br /> Client DateMme Matrix # of Cont Sequoia's <br /> Sample l D Sampled Desc Cont Type Sample# Pca C{`L Comments <br /> 4c /r1.14 j o:10 J t r v,�, ar V <br /> •din r r o <br /> 3 11jty SA <br /> Cr <br /> 4 � I R� o { U) <br /> 5 <br /> 6 <br /> 0 <br /> 8 dlv- I/ IT <br /> 1° a <br /> 10 <br /> Relinquished By I _ Date Time Received B Date"/ <br /> I,) Tim4 ! J J <br /> Relinquished By Date Time Received BV Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? )d Yes ❑ No Method of Shipment <br /> 1�(�axr Page of i s <br />