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7QUOIA ANALYTICAL 1:1 680 Che ' ke Drive - Redwood City, CA 94063 - (415) 364-9600 FAX (�::::�:�:-:�� 364-9233 <br /> C2 819 West Striker Ave. - Sacramento, CA 95834 - (916) 921-9600 FAX (91 6) 921-0100 <br /> CHAIN OF CUSTODY Q 1900 Bates Ave.. Suite LIVI - Concord, CA 94520 - (510) 686-9600 FAX (510) 686-9689 <br /> Company Name: _ Project Name: '.3-3 0 <br /> J,V tov -roLl/;7-/V <br /> Address: -3 3 S &AoL-A. v AVC., -5o7e- 4 Billing Address if different): <br /> City: -1,7 E�2(6,0 State: c4 Zip Code: <br /> > <br /> Telephone: 71 FAX#: 3qcjq P-0. #: 7 7 <br /> ,Report To: v 41 q 7r'.-2 Sam ler: )�61 I I QC Data: U Level A(standard) ❑ Level 6 ❑ Level C ❑ Level D <br /> Turnaround 4 fO Working Days U 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water \lAnaiyses Fiequestedi (L <br /> Time: 0 7 Working Days Q 2 Working Days ❑ Waste Water A <br /> 13 5 Working Days Q 24 Hours ❑ Other <br /> Client DatefT-ime Matrix #of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample # ► Comments <br /> t 0.lks 4& <br /> 71;0/13 Eg <br /> Cr <br /> 3.r-ID, <br /> '9- 10 ([3 <br /> 6. Q Lr,Jl I 0LJ <br /> Cz <br /> 7.U<i sick a'le- 7/1,0/f,.3� <br /> 8. <br /> to <br /> 9. <br /> . 10. <br /> Relinquished By: Da Time: 3142 Received B tDateWE3 Time- <br /> -ol�A 1140 Alul <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: I Date: ITime. Received By Lab: Date: [Time: <br /> Were Samples Received in Good Condition?Q Yes 0 No Samples on Ice? FJ Yes J No Method of Shipment Page _of <br />