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tJVIH ANALYTICAL U 680 Chesapeake Drive• Redwood City.CA 94063- (415)364-9600 FAX(41 X33 <br /> UN OF CUSTODY <br /> D 819 West r Ave. -Sacramento, CA 95834 • (916) 921.9600 FAX (91 .0100 <br /> ❑ <br /> 1900 Bates Ave., Suite LM•Concord,CA 94520.(510)686-9600 FAX (510)686-9689 <br /> Company Name: L•r-D Project Name: <br /> Address: l.l�. O y- 31.3 <br /> Billing Address{if different): <br /> City: � A <br /> State: t Zip Code: 8 <br /> Tne' <br /> 'ele 73 — El 3 FAX : <br /> P.O.#: <br /> Report To: Z. ampler- � <br /> m <br /> TumarDuQC Data: O Level A stands 0 Level 8 0 Level C ❑ CLP <br /> rrd Time,: ❑ 15 Working Days O 3 working Days ❑ 2-g Hours <br /> ❑ 10 Working Days U 2 Working Days APR 1513 [Analyses R ested C <br /> i15 Working Days d 24 Hours c1 <br /> Client DateMme Matrix N of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Corti. Type Sample# <br /> � Ct)riNftelllS <br /> 2. <br /> s -3 a 3831 <br /> 4. y <br /> 7• <br /> 8. Q <br /> 10. <br /> Relinquished y: Dater zp Time: lhJ� y� <br /> Received B <br /> Relinquished Date: Time: Received By: <br /> E _ Date: ,�: i <br /> Relinquished t3 Date: Time: Received By Lab: <br /> Date: irne: <br /> Were Samples Received in Good Condition?U Yes U No Samples on Ice? U Yes U No Method of Shipment <br /> Page,at <br /> .q <br />