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�(b85 Jarvis Drive- Morgan Hill, CA 95037 - (408) 776-9600- FAX (408) 782-6308 <br /> QUOIA ANALYTICAL ❑ 819 Striker Ave.,,F '`p 8-Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-01(izti <br /> ❑ 404 N.Wiget Lark Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> qW 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: 411- Project Name: 5%j s <br /> Lo1� YCIc-CA <br /> Mailing Address: t t t-7 Lo v1 e ���� � �� Billing Address (if different): <br /> City: ft/\Z�d e_s k State: L Zip Code: ,S 35 A <br /> Telephone: Z09 . 7 9 ZZzp FAX #: Zd9. S�1 Z�LS P.o. #: o� �d'�r LD <br /> a� <br /> Report To: T .. L., ��.ter„�a„1 Sampler: `� � C Data: evel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Y <br /> Turnaround M0 Working Days ❑ 3 Working bays ❑2 -$ Hours L3 Drinking Water Analyses Requested � <br /> Time: C) d 7 Working Days ❑2 Working Days ❑Waste Water ,S4Q <br /> ❑ 5 Working Days ❑24 Hours /�i��� 9 ,Other <br /> Client Date/Time Matrix # ofCont. f Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample # Comments <br /> 1. �L399 Srttr� /N.rt3i` <br /> 0 <br /> 2. •0 Cr <br /> 3. CSPZ-IS-n tt: NZ <br /> O <br /> 5. <br /> 6. <br /> 7. <br /> o <br /> 8. m <br /> 9. <br /> 10. <br /> r .rte ` � <br /> Relinquished By: date: ltq Time: J07�' Received By: 3 24� Date: C 2 `(5 Time: U2 <br /> Relinquished By: Date: '2 YSf Time: IS,) Received Date: Time: <br /> Relinquished By: Date: Time: Receive a Date: Time: <br /> Were Samples Received in Good Condition? ❑Yes 0 No Samples on Ice? 0 Yes ❑ No Method of Shipment Page—of <br />