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l ❑ 885 Jarvis DriveA&rgan Hill, CA 95037• (408) 776-9600 • FAX (408) 782-6308 <br /> I )<819 Striker Ave We 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-00 <br /> 61 <br /> RQUOIA ANALYTICAL t reek CA 94598 . 925 988-9600 FAX 925) 988-9673 <br /> ❑404 N Wiget Lane Walnut C ( } { <br /> CHAINOF CI 1�`"rODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> I V US ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name �� Project Name 11 yt (oz+S . fX�B <br /> Mailing Address ' � Lo�z '7 rsdAe b <br /> Billing Address (if different) <br /> City State Zip Code I <br /> Telephone ?0 _ Cj"7c _ FAX # S' PO # <br /> Report To r A 1,ex 4 tof Com) QC Data ❑ Level D (Standard) evel C ❑ Level B ❑ Level A U <br /> Y <br /> Turnaround 10 Working Days ❑3 Working Days ❑2- 8 Hours ❑ Drinking Water Analyses Requested <br /> IL <br /> Time ❑ 7 Working Days O 2 Working Days ❑Waste Water �� <br /> D 5 Working Days D 24 Hours XOther6 � y` ` <br /> rV <br /> Client Date/Time Matrix # of Cont Sequoia's ` Comments <br /> f Sample I D Sampled Desc Cont Type Sample # e <br /> 1 �4\w"" tfXQ� Vim[ i T I V � � Q1� a�E► [}t co <br /> _Aaw <br /> 2 MV1 -Z <br /> PCT-g A <br /> 3 �AVJ 410 <br /> 5 <br /> 6 <br /> csi <br /> I 7 � <br /> Cr <br /> m <br /> 8 <br /> 0 <br /> 9 <br /> 10 <br /> Relinquished By <br /> Y, T_t te_ � Time f j,_�_ Received By j Date Time <br /> f -c t� Time <br /> Relinquished By Date Time Received By Date Time <br /> i <br /> Relinquished By Date Time Received By Lab Date Time <br /> l <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on IcesYeMethod of Shipment Page_of <br />