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❑ 885 Jarvis Drive • Morgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> 819 Striker Ave e 8 Sacramento, CA 95834 (916) 921-9600 FAX 916 921-0 <br /> OQUOIA ANALYTICAL • <br /> © 404 N Wiget La�Walnut Creek, CA 94598 • {925) 988-9600 FAX (925) 988-9673 <br /> 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 /> S <br /> Company Name ATC, Protect Name J)IE-�r—1 t r 7 0C O <br /> Mailing Address f j 7 p Yl� �J _ Billing Address (if different) <br /> City I State Zip Code <br /> f ?,5 <br /> p # C{ <br /> Telephone �(l��t - �Ti;�j_ _ 2 � + ��' -�, �- � -�' � PO # � <br /> Report To ,, Sampler ,� v rt OC Data Aevel D (Standard) ❑ Level C :1 Level B CJ Level A U <br /> e ,.t <br /> Y <br /> Turnaround fef10 Working Days ❑3 Working Days ❑2 -8 Hours ❑ Drinking Water Analyses Requested d <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑Waste Water <br /> vt <br /> ❑ 5 Working Days ❑24 Hours 0110ther� <br /> Client Date/Time Matrix # of Cont Sequoia's t� <br /> Sample p le I D Sampled Desc Cont Type Sample # J Comments <br /> yy cEu .tet <br /> 0 <br /> - o <br /> 2 )SI <br /> co <br /> o <br /> 3 ��11t1 -� ✓ `/ 0 <br /> �ySS <br /> 4 J505 <br /> 5 <br /> 6 <br /> 7 0 <br /> m <br /> 9 <br /> 10 - <br /> Relinquished By _ a �D to Or�`rc'C) Time Received By Date . 2 Time o);_S .J <br /> Re4mqulshed By -7 Date , y,� 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 fce? Yes ❑ No Method of Shipment_ CPage I of <br />