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680 Chesaake Drive• Redwood City,CA 94063• (415) 364-9600 FAX(41064 9233 <br /> �,?EQUOIA ANALYTICAL ❑ 819 West Striker Ave. - Sacramento, CA 95834 - (916) 921-9600 FAX(916) 921-0100 <br /> OP CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM - Concord, CA 94520 - (510) 686-9600 FAX (510) 686-9689 <br /> my Name: S QC- G Project Name: .,,P—4 L+ ` <br /> s <br /> -s: 136 Billing Address ( if ditferent). <br /> State: Zip Code-.k Jwd b a -L{ us b 6 is r,-.tz lq3 viwisd n1 <br /> gone: flo %0 4sa ` X5.5- FAX#: /E,- 953- P.O. <br /> r <br /> C <br /> To: 4ic se11 raga,! Sampler: QC Data: ❑ Level A(scandard) ❑ Level 6 ❑ Level C ❑ Level D u <br /> il 1c, <br /> round ❑ 10 Working Days ❑ 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water lAnalyses Requestedf Requestedc <br /> ( Working Days ❑ 2 Worl.ing Days ❑ Waste Water �� Q0" r <br /> ❑ 5 Working Days ❑ 24 Hours qs�)1$g) ❑ Other <br /> Client Date/Time Matrix #of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample # Comments <br /> j vV <br /> 61.5 -01 x Ix- x o <br /> G13 f C, <br /> Cr <br /> IJ 1 -1 <br /> • o <br /> } <br /> .o <br /> r <br /> linquished By: Date: a/aa 7,Time: Received By: Date S'' ime: g',5�. <br /> linquished By: Date: Time: Received By: Dat Ztime: <br /> linquished By D-1, Timel 3 <br /> rel Received By Lab. Date: ime: <br /> n <br /> �rnnlpc ao,-oNrrr in r,nnrl rnnrii nn?0 Ypc D Nn ISamoips an lce? ❑ Yes ❑No Method of Shiament L�4-,r � Page I of 1 <br />