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@QUOIA ANALYTICAL ' 4dO Chesaoe Drive• Redwood City, CA 94063• (650) 364-9600 FAX (650) 0233 <br /> ZVW LJ 819 Striker Ave , Suite 8 • Sacramento, CA 95834• (916) 921-9600 FAX (916 921-0100 <br /> a <br /> CHAIN OF CUSTODY ❑404 N Wiget Lane• Walnut Creek, CA 94598• (510) 988-9600 FAX (510) 988-9673 . <br /> Company Name AS S Project Name eskre-c '� ZS 14 o001 <br /> Address 12 OO rQ �� �.. Billing Address (if different) <br /> City tAQ f AC) State (2,,, Zip Code 25-351 <br /> Telephone 209-579—ZZZ,� FAX # ?,�?q-x'79- zzz,5 PO # <br /> Report ToOVASampler t">�oreS QC Data Level D (Standard) ❑ Level C C] Level B ❑ Level A U <br /> Turnaround 0 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> CL <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water . <br /> Q� <br /> ❑ 5 Working Days ❑24 Hours El Other <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # ` 4�' <br /> 1 — 9� f 0 5 I°+'�'wta�� ✓ ✓ 1� oak ca <br /> 2 MW - Z � �� 7 ✓ i� ,pE1 S <br /> Cr <br /> _ TA fA F 0 <br /> a <br /> 6 tAW— G _ Jr-Rq0 YA F\ [I V/-\V" <br /> 0- <br /> 8 rn <br /> 9 L <br /> 10 <br /> J� <br /> Date Time Received By Date-,/�/ r Time <br /> Relinquished By ��/S+ _ ice s. /C 7f r-,�� <br /> Relinquished By Date f ' Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Conditions ❑Yes ❑No Samples on Ice? es ❑No Method of Shipment 0000-11 t t. Page of 3 <br />