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4W'885 Jarvis Drive • Morgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> 6ZUOIA ANALYTICAL Ll819 Striker Ave. 4te 8 • Sacramento, CA 95834• (916) 921-9600 FAX (916) 921-0 <br /> ❑ 404 N.Wiget La ,Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) - -- --73 <br /> V*F 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: .47,C, A--Zocla S -tric . Project Name: Stvk" <br /> Mailing Address: ���'� rtC. t Billing Address (if different): <br /> City: �J State: Zip Code: <br /> Telephone:W9 6*1 FAX #:209_579- 27- <br /> P.O. #: <br /> [Report To: Sampler: QC Data: vel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> vti v► awe_ �� � ' , <br /> Turnaround 0 Working Days ❑3 Working Days ❑2 -8 Hours ❑ Drinking Water •? Analyses Requested <br /> d <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water ,�- <br /> ❑ 5 Working Days ❑24 Hours p,6ther <br /> a <br /> Client Date/Time Matrix # of Cont. Sequoia's .tl�� Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> U &"1. W - 1 IZ43Lg� o s 'r <br /> NL/ L <br /> U) <br /> 3. MW- o <br /> 4. <br /> 5. <br /> 6. <br /> 7 cu <br /> 0 <br /> a� <br /> 8. U) <br /> 9. <br /> 10. <br /> Relinquished By: Date:/da39q Time:lA0C; Received BYCDSon Date: 3 Time: 10-'00 <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? ❑Yes ❑ No Samples on Ice? 624s ❑No Method of Shipment- C,�ur'� r' Page-of <br />