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, X80 Chesapeak eve'• Redwood City, CA 94063. 650)364-9600 FAX (650) 364- <br /> ,; 6ZUOIA ANALYTICAL c f <br /> ❑ 819 Striker Ave., 5uite 8 Sacramento, CA 95834• (916) 921-9600 FAX (916) 921=01i�u° <br /> 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 M' <br /> Com .an Name: �JL-�-._ / �� <br /> P Y 14Tt, As�oGrt_ S Project Name:.7��4xAw� Y -flab- sz .40ftS <br /> Mailing Address:f/jy ' Im Billing Address (if different):. <br /> 11 City: State:, Zip Code: <br /> Telephone:�„37 1. FAX#: c�. r -��- P.O.#: <br /> Olt <br /> Report To i►,t.� ke- 0VA! Sampler: ��. �crG..S ' QC Data: evel D (Standard) ❑ Level C ❑ Level B ❑Level A U. <br /> �. <br /> . Turnaround. ITTO Working Days 3 Working Days ❑2-8 Hours 0 Drinking Water Analyses Requested <br /> CL <br /> Time:' 0:7 Working bays;. ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days . ❑24 Hours , ' the4 <br /> Client Date/Time Matrix # of Cont Sequoia's �} Comments <br /> Sample I.D. : .> Sampled Desc:_ Cont. TYPe `: Sample # ` ( , <br /> 0317 <br /> MASS - ca <br /> 2, `Mw2 �t'sS' �. ✓ <br /> U) <br /> 6. <br /> r r <br /> 8_ cn <br /> 1.07:' 7 <br /> „Relinquished By: Date:0617cj Time:/Sg/ Received By: #q Date: ,3/)-71 Time:IS'� <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? i0es:0 No' Method of Shipment i Page ` of <br />