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CJ)OQUOIA ANALYTICAL '819 We*ker Ave • Sacramento, CA 95834 • (916) 921-9600 FAX (9021-0100 <br /> f Ufi80 Chesapeake Drtve • Redwood Cray, CA 94063 • (a15) 3s4 9600 FAX (415 364_ <br /> 9233 <br /> 1111W CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (510) 686-968c- <br /> Company Name �� 5 -- Project Name <br /> iAddress l u r� - Billing Address ( d different) - - -- <br /> Cdy Lt� c State C-.rl Zip Code j,Z 1 -- <br /> Tele hone >ll� T , -- _-- FAX# 7,;6 - # <br /> a� <br /> U <br /> ,Report To i Gx v�r� Sam ler ,,I-r ,i i q,,ril <br /> Turnaround Time ❑ 10 Working Days ❑ 3 Working Days 1:12 - 8 1 Ir,irr� Arial Ae nested a <br /> 9 Da2 Woikin0 Days /! 7/ -- <br /> / <br /> v Tl 5 ti^;c3rf;rny f)a�F � ,[ Hour; f/� t;;t'� A`eld i! <br /> f f i�7CcrnFTi( <br /> �CErertt Uati�/1 int RiaErix' # rsf �r_,ortt _ Sequoiasr Sam le It7 Salit 7irr1 f}enc Cont r R I Yp Sample # �r� `/� va / nts <br /> ri CU <br /> aai <br /> 2sF - L x ,fid <br /> 4 <br /> 5 <br /> 7 c� <br /> 8 Cr <br /> 9 — - <br /> 10 <br /> Relinquished 8y ' 4rTire i` 5«, Received By !'( ! l� Date Wime I I r <br /> Relinquished By r ��"�� ` Date Time - Received By( "� 2f kr� I �`� �a Date 11?� Time <br /> Relinquished By i Date Time Received By Lab Date Firrie <br /> Were Samples Received in Good Condition? U Yes ❑ No Samples on Ice? G Yes L) No Method of Shipmertt_ __ <br /> Irl <br /> _� 1' _ Page of <br />