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❑ 885 Jarvis Drive • organ Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> *QUOIA ANALYTICAL LJ2419 Striker Ave , W 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-010 <br /> 11404 N Wiget Lan alnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> w► CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Cl 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name -Protect Name { �, C��ti 1.4��/ <br /> Mailing Address )(1 y) Billing Address (if different) <br /> t <br /> City ��^� State C(` Zip Code <br /> Telephone �� - r �Z z! FAX # 2(J� 579-ZZZ5 PO # w <br /> Report To „� Sampler ; QC Data - Level D (Standard) ❑ Level C ❑ Level B Clevel A v <br /> `11 �, ' <br /> Y <br /> in <br /> Turnaround X10 Working Days L] 3 Working Days ❑2-8 Hours ❑Drinking Water Analyses Requested <br /> CL <br /> Time ❑ 7 Working days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Gays ❑24 Hours AOther( � <br /> Client Date/Time Matrix # of Cont Sequoia's hf Comments <br /> Sample I D Sampled Desc Cont Type Sample # A< <br /> 1 v . 1 C - L!} Its=-= vi �ltirrnl <br /> 0 <br /> 2 \ISCn <br /> 3 <br /> 4 a <br /> V <br /> 5 <br /> 6 t <br /> 7 0 <br /> f � <br /> m <br /> 8 � <br /> a� <br /> 9 <br /> 10 <br /> Relinquished By k /6-14== zv Date - 12 Time Received By Date r 3 Time 0119 J <br /> Relinquished By Date - Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes 0 No Samples on Ice*) ]'Yes ❑ No Method of Shipment ��A Page_(_of 1 i <br />