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iT��EQUOIA ANALYTICAL ❑ 680 Chesap� rive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) <br /> ❑ 819 Striker Ave Suite 8 • Sacramento, CA 95834• (916) 921-9600 FAX (916) 921 000 a <br /> 1W CHAIN OF CUSTODY ❑ 404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707)792-0342 <br /> Company Name: �"C f, +SEDC �a�e 5 I" Project Name:[.; QVG'f 5,V17961--0601 <br /> Mailing Address: Billing Address (i#different): <br /> City: NA O&e-SVQ State: C Zip Code: <br /> Telephone:209- 5 77 - Z Z.2J FAX#: Z09-57 7-1 S P.O.#. <br /> Report To: Sampler: QC Data: evel D (Standard) Cl Level C ❑ Level B ❑ Level A U <br /> inn w� c J°kl�x b�eS <br /> Re <br /> Turnaround 1�Working Days 3 Working Days ❑2-8 Hours ❑ Drinking Water [Analyses Requested] <br /> Q, <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days C124 Hours 0 ther� <br /> Client Date/Time Matrix # of Cont. Sequoia's /`} Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> P-C 1nr G.. <br /> 1. Z ��J6 '�O ml V/ ��rtt+��S b o <br /> � 2� � � �r gas am Cr <br /> = <br /> 2. N1,lr�l-2 _ <br /> 4T�•,r � �� � l <br /> 3. W- 3 3� VC N"A Q. co e-� o <br /> 0 C%vCow" aa�Talx } <br /> 4. M V'J ' � ��� � � W►��► � a <br /> � � ✓ kahc� a. . <br /> 5. M\AJ M <br /> 6. ca <br /> 7. o <br /> 9. <br /> 10. <br /> Relinquished By: Date:0(p Time: t: Received By: � � + Date�;' S- � Time:/& <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: Time: <br /> Were Samples Received in Good Condition? 0 Yes ❑No Samples on Ice? Wfes ❑No Method of Shipment CQ Vr;C y Page-L of <br />