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MM MIMI <br /> � 7680 Chesape rive • Redwood Ci#y, CA 94063 • {650) 364-960Q FAX (650) 36 3EQUOIA ANALYTICAL <br /> :1819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> ❑ 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> CHAIN OF CUSTODY <br /> ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name A j , f� �'s Project Name r ;. u , i . t `� , non <br /> Mailing Address AJe tivti t, Billing Address (it different) <br /> City .?c' cad- State ( Zip Codeo <br /> Telephone :?t)q j5+yj _ , FAX # ?07 —S-11- PO # <br /> Report To . Sampler A <br /> 11p-x t OC Data FULevel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Y <br /> Turnaround Cr-0 Working Days ❑3 Working Days ❑2 -8 Hours C3 Drinking Water r Analyses Requested <br /> CL <br /> Time U 7 Working Days ❑2 Working Days D Waste Water <br /> ❑ 5 Working Days ❑24 Hours C�Other 6 t <br /> �u� <br /> Client Date/Time Matrix # of Cont Sequoia's '� <br /> Sample 1 D Sampled Desc Cont Type Sample # �:' Comments <br /> •R-r++ t` i{ _ ..thy J `y LAtJ �, 1 <br /> 1 1'{• f 1 �� o 4 1� ! 15 oK-t to <br /> 3 �A\A- 2 r <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 0 <br /> 8 rig <br /> 9 <br /> 10 <br /> ca <br /> Relinquished BY �4, .�, �..L _j�z�. Date^ ,�7 y, Time r` `' Received BY � 1/? ?t,,�,� Date `-' " 'Time ? ` <br /> I 1r <br /> �_- <br /> I <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? G Yes © No Samples on Ice? LI-Yes ❑ No Method of Shipment fT o tt I r iL. Page_�of <br />