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r OUOIA ANALYTICAL X680 Chesapeakr- ve - Redwood City, CA 94063 - (650) 364-9600 FAX (650) 364-9' <br /> Ll 819 Striker Ave., -Jile 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-01u <br /> CHAIN OF CUSTODY U 404 N.Wiget Lane •Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: Ave- Project Name: .SvS,D - L.1,5a <br /> Mailing Address: n Ly�4t� Billing Address (if different): <br /> City: �s1a State: LA Zip Code: <br /> Telephone: -may S�r't ZZ Z 1 FAX #: zd� -�� . ZZ Z P.O. #: <br /> Report To:-;a ,, L �r � Samplers QC Data: )Nf Level D (Standard) ❑ Level C ❑ Level B U Level A U <br /> Turnaround )K10 Working Days U 3 Working Days © 2 - 8 Hours U Drinking Water Analyses Requested <br /> a- <br /> Time: U -7 Working Days U 2 Working Days �}2 ❑Waste Water ` <br /> ❑ 5 Working Days ❑24 Hours v ' V ❑Other W <br /> : I I Client Date/Time Matrix of Cont. Sequoia's Co <br /> Sample 1.D. Sampled Desc. Cont. Type Sample # <br /> ie s�' U)rt{5-SBt'�S'o pro ti X `u <br /> .Q <br /> 2.S,sp E iK-591-xa.a I"X9 � <br /> 3.SP �-56l-3fla t� Z� G 3 <br /> rr 0 <br /> 4.50Sq(91++5-S 6 L`t 5-.'3 <br /> 6.5u5 erSgZ`3a,a <br /> m <br /> 7. o <br /> 8. <br /> 9, <br /> 10. <br /> 3 <br /> Relinquished By: Date: 5 Time: Received By: �f�3 Date: , —/� Time: �' <br /> Relinquished By: Dat v j2 Time:? QST Received By: ate: Time: <br /> I � <br /> Relinquished By: Date: Time: Received By Lab: Date: IfI Time: <br /> Were Samples Received in Good Condition? Y s 0 No Samples onIco ❑ ❑ Na Meth Shipment Page of <br />