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U 885 Jarvis Drive • Morgan t fill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> OQUOIA ANALYTICAL � 11619 Striker Ave Oe 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (9 16) 921-01� <br /> 'U 404 N Wiclet Lar Walnut Creek, CA 94598 • (925) 988-9640 FAX (925) 988-9673W <br /> Ci-IAN OF CUSTODY U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 ! <br /> U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company mNae r/� Protect Name yf / J rj cr.?1 <br /> �~ �iflf , _f <br /> Marling Address t t k "� [ tit ;,`Y �r{ t] r r ? Billing Address (if different) <br /> CityI\A �u1E S�(—, State ( j Zip Coder 1 <br /> Telephone FAX It �;-7 y f,7,'- . ' jPO # �, <br /> Report ToSam ler r i QC Data XLevel D (Standard) U Level C U Level B U Level A v <br /> Y <br /> Requested <br /> Re <br /> Turnaround �L�1:j0 Working pays ❑ 3 Working Days U 2 - 8 Hours ❑ Dunking Water Anal Y q � <br /> Time U 7 Working Days U 2 Working Days U Waste Water <br /> C � / <br /> U 5 Working Days U 24 Yours X01her K,y t � f;,? <br /> Client Date/Time Matrix It of Cont Sequoia's v` Comments <br /> Sample I D Sampled Desc Cont Type Sample It <br /> 0 <br /> 2 <br /> _ U <br /> r <br /> 4 <br /> 5 <br /> 6 _ <br /> ro <br /> 7 0 <br /> a� <br /> 8 Cn <br /> 9 -E <br /> 10 <br /> Relinquished By �' f �C� �(�V��Er3 Date Time Received By t Date , Time I <br /> Relinquished By Date TrmE' Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> i 1 <br /> Were Samples Received in Good Condition? ,��Yes U No Samples on Ice? Yes U No Method of Shipment (Ali)I_r-3 1� Page_L of <br />