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U 885 Jarvis Drive organ Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> 11QUOIA ANALYTICAL �<819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 9219600 FAX (916) 921 0100 -4 , <br /> U 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 9 <br /> NWV CHAIN OF CUSTODY U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0912 <br /> U 1551 Industrial Road • San Carlos, CA 94070• (650) 232-9600 FAX (650) 232-9612 <br /> Company Name A-- fy c Prosect Name , <br /> - - - - - - –'7C�him 1�_._ — r k?�+ Y ,Ct:c 517 C" ' <br /> Mailing Address �' `7 Billing Address (if different) <br /> City +� -�_ 5ta#eC7t Zip Code <br /> Felephone - r c - <br /> f �_I �� 7 j - Z�-� � FAX # ��_a 7ci -Z Z Z S Po # <br /> Report To Je-ckvl V\. a�:S�Ier A 1QK 4 to e QC Data U Level D (Standard) evef C U Level B U Level A v <br /> Turnaround10 Working Days U 3 Working Days U 2 8 Hours LlDrinking Water Analyses Requested Y <br /> c <br /> Time U 7 Working Das U 2 Working DaY J Ys ©Waste Water <br /> 1U 5 Working Days Ll 24 Hours Other/�Q Q % <br /> Client Date/Time Matrix # of Cont Sequoia's X71y / <br /> Sainpse I D Sampled Desc Cont Type Sample # Comments <br /> ax C 5 <br /> -- <br /> n <br /> 3 TAW _ ►� fid (�, ✓ ✓ �/ r✓ r P�, r�i <br /> -4 Lt- �s r <br /> 6 <br /> 7—--- — - -- _m <br /> O <br /> 9 m <br /> .c <br /> LLO <br /> Relinquished By y,� �L, ate Time r]� Received By Date +Zq-�tUTime <br /> Relinquished By � Date jZ 0(M Time ���� Received ByDatee <br /> Relinquished By Date Time Received By Lab Qatee <br /> Wflra SamnIPS nP(-PIVPd in (innr{ (-'nnrirNnn7 f 11 V.., r , r.r.. -• <br /> v / <br />