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IKQUOIA ANALYTICAL Q 680 Chesapea ive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364- - <br /> ❑ 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> 1W CHAIN OF CUSTODY ❑ 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 A-C Atss � Project Name $S <br /> A i l o00 <br /> Mailing Address Ik17 L_6yU_u 3� �v Billing Address (if different) <br /> City M o Ae.3{-p State Zip Code C1535 1 <br /> Telephone '�p� Z�_ ZZZ� FAX # Zo11 579-z zz g- PO # <br /> Report To Sampler A Lek -F-t r OC Data lk<evel D (Standard) ❑ Level C Ct Level B ❑ Level A U <br /> Turnaround 0 Working Days Q 3 Working Days ❑2 -8 Hours ❑ Drinking Water Analyses Requested � <br /> d <br /> Time ❑ 7 Working Days Q 2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours VdOther(:�j <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample # Qj Comments <br /> 1 N&w - I mom � 1� 3 5t�s 01 <br /> , 1 r 0 <br /> 2 NA W-Z OoI} w 3 Z t/ <br /> U� <br /> 3 1v1 W - 1X10 <br /> 0 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 0 <br /> 8 ami <br /> 9 °J <br /> 10 <br /> Relinquished By A-v Date 9 Time Received By � Date,/,:7-o1-!P d'•9� Time /�Ov <br /> Relinquished By �'����� Date/2 �'f Time f? Received By Date lime <br /> Relinquished By Date Time Received By La D/ate Time <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? -/Yes ❑ No Method of Shipment el&)r Page k of <br /> 1 <br />