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00, <br /> ChesaAive - Redwood City, CA 94063 a ( 50 <br /> 364-9600 FAX ( 50) 34-f <br /> OUOIA ANALYTICAL c,8 <br /> 19 St ker Ave , Suite 8 Sacramento, CA 95834 • (9616))921-9600 FAX (916) 9261-01003 <br /> 2101003 , <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 <br /> r <br /> pany Name tProject Nameing Address tlI7 ., Billing Address (If different) <br /> iy MQ State Zip Code j <br /> FAX # i3q - P O # <br /> Telephone Z09 -5�g.� � '� 7`t-�Zz <br />� U <br /> Report To � ;y � �� Sampler A��K QC Data Level D (Standard) C3 Level C Level B Level A <br /> x <br /> nal ses Requested <br /> ❑ <br /> Turnaround 10 Working Days 3 Working Days ❑2-8 Hours ❑ Drinking Water YCL <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water c o <br /> ❑ 5 Working Days ❑24 Hours �q µZ7g- U-6ther6 k <br /> �L 6�� <br /> Client Date/Time Matrix # of Cont Sequoia's �� u Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> mw - <br /> 0 <br /> Cr <br /> 2 uJ <br /> o <br /> 3 <br /> 4 <br /> 5 <br /> fi . <br /> :0 CUSTO YSEUINTACT N INTA TC <br /> t,E <br /> 7 <br /> , Cr <br /> -GOLERTEI ATURE <br /> 9 <br /> 10 <br /> Relinquished By Date Time Received C� Date ;Z- Time <br /> Relinquished By y 71 Date ?-2�� Time )P33 Received By t��a�-�-- Date 4 Z < Time <br /> 11- <br /> Relinquished By M AA Date 7 Time p4,ly Received By Lab Date ) Time <br /> t � <br /> Were Samples Received in Good Condition? 0 Yes ❑No Samples on Ice? r es 0 No Method qt Shipment� �rd // _/�r Paget r <br />