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X680 Chesapea�,.,—­,-.,.',7�) <br /> rive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-�:P:­�-'13 <br /> Striker <br /> er v6 <br /> "QUOIA ANALYTICAL <br /> (916) 921- <br /> Sacramento, CA 95834 • (916) 921-9600 FAX <br /> ID 819 ite 8 <br /> Q)i"CHAIN OF CUSTODY U 404 N.Wiget Lane •Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> D 1455 McDowell Blvd. North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: <br /> TC JC ( 2.5 7q <br /> Project Name��Ocv_ 02— <br /> Mailing Address: I-A Billing Address (if different): <br /> Zip Code.` T- <br /> City: State:((,-, <br /> P.O. #: <br /> Telephone: r (I' FAX a) <br /> 7_0 <br /> Report To: Sampler: 4- <br /> QC Data: filLevel D (Standard) Li Level C Ll Level B. El Level A <br /> Turnaround If1r'0 Working Days 0 31 Working Days Ll 2-8 Hours U Drinking Water Analyses Requested <br /> CL <br /> Time: CJ 7 Working Days El 2 Working Days 0 Waste Water <br /> U 5 Working Days Ll 24 Hours M,Oiher <br /> Client Date/Time Matrix # of Cont. Sequoia's Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> A11�1�11 <br /> 0 <br /> Cr <br /> (D <br /> 2. rA VJ <br /> cn <br /> 3.1,A W <br /> 0 <br /> 4. tA VIJ _Jz <br /> 5. t 20 <br /> 6. <br /> 7. 'o <br /> Cr <br /> 8. cin <br /> 9. <br /> .10. <br /> Relinquished By: Date--e <br /> .)11o19Time: Received By: Date: Time: <br /> 9- <br /> Relinquished By: Date: Time: Received By: Time: <br /> Date: 1/'11t hi IF? <br /> Relinquished By: Date: Time: Received By Lab: 1 Date: Time: <br /> Were Samples Received in Good Condition? Q Yes 0 No Samples on Ice? k4s 0 No Method of Shipment Page of <br />