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� k903011 <br /> 4,660 Chesapeakrive• Redwood City, CA 94063• (650) 364-9600 FAX (651])' <br /> zliQUOIA ANALYTICAL . <br /> ❑819 Striker Ave., Suite 8•Sacramento, CA 95834• (916) 921-9600 FAX (916)921-01b <br /> CHAIN OF CUSTODY ❑ 404 N.Wiget lane•Walnut Creek, CA 94598• (925) 988-9600 FAX (925) 988-967_ <br /> ❑ 1455 McDowell Blvd. North, Suite D• Petaluma, CA 94954• (707) 792-1865 FAX <br /> Company NameProject Name:Arsv sb <br /> Mailing Address: La..�e ��` %I--tg Billing Address (if different): <br /> City: � s State: Zip Code: 9 53S 1 <br /> Telephone: 7 S7_-ZZ,7-1 FAX #: Zit 5�9.Z2, P.O.#: <br /> [ReportTo:-rd. �.,a`-�k-�c�r►zv. Sampler �.y�- �^v+�ca v+ OC Data: Level D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> �c <br /> Turnaround X10 Working Days ❑3 Working Days ❑2-8 Hours 0 Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days Q Waste Water <br /> ❑ 5 Working Days ❑24 Hours XOther <br /> Client Date/Time Matrix # of Cont- Sequoia's �� '� Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> *3d? " L ca <br /> �o <br /> 2 ScAa -s1 -U!, <br /> t'=i5 K X <br /> -ID Sr <br /> } <br /> 4. <br /> 5. <br /> 6. , <br /> m <br /> 7. a <br /> Cr <br /> W <br /> 8. m <br /> 9. <br /> 10. <br /> Relinquished By: 7 Date: Z.z6 Time: wcd-f Received By&4 Date•`- Time: Mi <br /> Qate:Relinquished By:1&1 Tme Received Time: <br /> Relinquished By: Date:-5-J-?J Time:N01 Received By Lab: ` DatJ3. 1 <br /> Time: <br /> I e I__.. nCamnlnc nn 1rn9 fl WC I) KIM hdnth^e4 of Chiasma Aa no �1 <br />