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a <br /> QUOIA ANALYTICAL 1 880 Striker Ave. Suite 8 Redwood City CA 94063. (650) 364-9600 FAX (650) 364(,1 <br /> Sacramento, CA 95834 (916) 921-9600 FAX (916) 921-0100 <br /> I VW— CHAIN OF CUSTODY 0 404 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) 792-034 <br /> Company Name: 4-i-G V3_,So, 44 L� project Name: SSS O - c rpat e.��o� )C coll.c] <br /> Mailing Address: t" Lwka � Billing Address (if different): <br /> City: State: Zip Code:9 S3S <br /> Telephone: FAX#: Z Z4, 22, S P.O.#: c 1 <br /> m <br /> Report To: •� [ Sampler o,,,, L,4-} o.-t-twz," QC Data: Wevel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Y <br /> Turnaround )'10 Working Days ❑3 Working Days ❑2-8 Hours ❑Drinking Water Analyses Requested _ <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours Other ,�� '1p� <br /> �G <br /> Client Date/Time Matrix # of Cont_ Sequoia's �b �.�' <br /> Sample I.D. Sampled Desc. Cont. Type Sample # Comments <br /> -t.;•,� � s wtl s <br /> 13) <br /> W <br /> c 3. ys �B •�S x,30 aC X -�3 0 <br /> 6,S Oole,4-664 <br /> 7.5 b -5 - 59 -b 91- <br /> 0 <br /> • 8. u3 G -~S$ 35. l c�=i 0 U l.� I� Jt _0�' Cr <br /> m <br /> Cl) <br /> 9 a y W31 � a) <br /> �l <br /> 10. <br /> � <br /> Relinquished By: -� Date:-za. Time: r a,,c Received ByV-41 a <br /> Date: Time: <br /> Relinquished By: Datep�t' Time: Received By: Date: l`7g Time:lYa1 <br /> Relinquished By: Date: Time:xfbQ Received By Lab: Date: y Ti <br /> i <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? ❑Yes ❑No Method of Shipm Page_of <br />