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1t%1uV1A ANALYTICAL u 680 Cl eake Drive-Redwood City, CA 94063-(415)364-9600 FAX ( 4-9aa3 <br /> CHA1 N OF CUSTODY ❑ 819S r Ave , suite 8-Sacramento, CA 95834-(916) 921-9600 FAX(9 16) 921-0100 <br /> ❑ 404 N Wiget Lane -Walnut Creek, CA 94598• (510) 988-9600 FAX (510) 988-9673 <br /> Company Name ` Project Name <br /> Address � Z <br /> Bilking Address(if different) <br /> City S' JL4,,,� State Zip Code Q.,2o <br /> Telephone Zo -772 -362t) FAX �.•. A O # <br /> c <br /> Re ort To V a, Isampler V. QC Data &Level D(standard) ❑ Level C ❑ Level B ❑ Level A V <br /> Turnaround 10 Working Days ❑ 3 Working Days ❑ 2-8 Hours ❑ DrinkingWater <br /> Anal yes Re ussted Tl7 Working Days ❑ 2 Working Days � <br /> ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other s <br /> Client Date/Time Matrix #of Cant Sequoia's \k <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> 2 VE-r of m <br /> co <br /> 3 <br /> 0 <br /> 4 <br /> } <br /> 5 <br /> 6 <br /> 7 <br /> B � <br /> 9 <br /> 10 <br /> Relinquished By Date )Z&L5;6 Time l;'jc) Received By Date Time <br /> Relinquished By Date Time Received By Date <br /> Time. <br /> Relinquished By Date Time Received By La4", Date ' l ime J <br /> Were Samples Received in Good Condition?❑Yes Q No Samples on Ice? a Yes U No Method of Shipment Page of <br />