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0485 Jarvis Drive • rgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> UOIA ANALYTICAL CJ 819 Striker Ave , 8 • Sacramento, CA 95834 • (916) 92]-9600 FAX (916) 921-01! <br /> z ❑ 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> 1W CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name �{�"� ! Project Name <br /> ;i <br /> Mailing Address t11-1 �, , }� ( �;y Billing Address (if different) <br /> CityMcg t, Stated Zip Code r 53s j <br /> Telephone ate c , 71 FAX # .� Z PQ # a <br /> Report To ►z �cSampler A(" QC Data JYLevel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Turnaround 010 Working Days ❑ 3 Working Days ❑2-8 Hours :1Drinking Water Analyses Requested <br /> d <br /> Time 1) 7 Working Days C32 Working Days ❑Waste Water <br /> Ll5 Working Days CJ24 Hours ACther(,,,�, <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # ,! i <br /> 1 m Vj-- 6i-3CW1 i_;li 1 k-< <,1 , ,% co <br /> a <br /> Cr <br /> ✓ ' <br /> 3 a <br /> l <br /> 6 tf - 1 �� ✓' �, <br /> 7 T <br /> b <br /> 8 <br /> r!] <br /> 9 <br /> 10 <br /> Relinquished By ' ,k 1 — C_�.-�' Date - ,lTlme ��y3E1 Received By i 1 + ! �a Date ] Ic j Time f {j 1_1 <br /> ROmquished 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 ❑No Samples on Ice? Yes ❑ No Method of Shipment 9`° , i } Page L-of_� <br />