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nA .�7C <br /> AJarive ganCA'�• (�T7fi�• FOS)�30:�l *QUOIA?A� ~L ❑ 404 N StrikerWiget Lan alms Creek, CA 45988 (925) 988-9600 6FAX 925) 988-9673921-01 ck <br /> qW CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name A,-re- sSCJC-% s w Protect Name 2,�a,., <br /> Mailing Address L p Billing Address (if different) <br /> City � �� c State Zip Code 9 s3 S I <br /> Telephoned57� FAX # 7�`f,57n1 Z I PO # <br /> Report To � � 1��. Sampler j QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A , <br /> Y <br /> Turnaround t0 Working Days ❑3 Working pays ❑2-8 Hours ❑ Dunking Water Analyses Requested <br /> a <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours [,Other <br /> t o <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # !r <br /> v�l�4 1 1 i z V fin--4� <br /> 1 R�sD- WN-2aS - iib i T-bc ftl&411 X Cr <br /> c� <br /> 0 <br /> 2 2aSB- Q14-3S <br /> 3 O-QsA AA•QS-xQ 5 q:7,7 X x ✓\ 3 <br /> 0 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> b <br /> 3 <br /> CT <br /> 8 COO LER TEM ERATOE a °C µ <br /> 9 <br /> 10 <br /> Relinquished By Date()71(p99 Time / 4 Received By ��' Date 7 -4-y9 Time /t3 yLj' <br /> Relinquished By Date ?-) g Time Received By Date Time <br /> Relinquished By Date Time Received By Lab A iE,-- 11%& <br /> Date Time <br /> Were Samples Received in Good Conation? ❑Yes ❑No Samples on Ice? b es ❑ No Method of Shipmeni w Page / of L <br />