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� vu.i uaf via ui1VU - IVIU19aaI I iui, vn zay.ar - �-tuo) l $v-Uv[0v - rnn k4UO) r4C-00V0 <br /> 8 o Sacramento, CA 9534- (916) 921-9600 FAX (916) 9 <br /> (0J"4*1%EQUOIA ANALYTICAL p 404 N.Wigetl�e-Suite <br /> Creek, CA 945988 (92 5) 988-966G FAX (925) 988 9b� 0 <br /> U 1455 McDowell Blvd. North, Suite D o Petaluma, CA 94954 0 (707) 792-1865 FAX (707) 792-0342 <br /> 1W CHAIN OF CUSTODY <br /> ❑ 1551 Industrial Road a San Carlos, CA 94070 a (650) 232-9600 FAX (650) 232-9612 <br /> Company Name: Project Name: kwtLet- S <br /> Mailing Address: 33� 111.,rej u,6 Billing Address (if different): <br /> City: State: (4— Zip Code:IS zS 7 <br /> Telephone: ',1- -36 FAX C P.O. #: Zoo <br /> Q <br /> Report To: ' ca <br /> P . �,�,�►/�-. Sampler: QC Data: �Level D (Standard) ❑ Level C ❑ Level B ❑ Level A , <br /> Turnaround4 <br /> 10 Working Days U 3 Working Days ❑2 -8 Hours U Drinking Water Analyses Requested <br /> / a_ <br /> Time: U 7 Working Days ❑2 Working Days ❑Waste Water ^ <br /> ❑ 5 Working Days ❑24 Hours ❑Other <br /> Client Date/Time Matrix # of Cont. Sequoia's 0 <br /> Sample I.D. Sampled Desc. Cont. TypeSampleComments <br /> Sam YP <br /> P P # <br /> Q <br /> - -z -/to th b,- 3 Q, "I izz n -0 1a <br /> 2. i, C <br /> U) <br /> 3. <br /> 0 <br /> 4. [t r,, <br /> 6. <br /> 7. K' 7 <br /> p <br /> 7 <br /> 8. <br /> {J] <br /> i <br /> 9. <br /> 0. /� <br /> Relinquished By: i Date{Z(!j M Time: S; Received By e: ( Time <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Were Samples Received in Good Condition? U Yes 0 No Samples on Ice? U Yes U No Method of Shipment Page cif <br />