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❑ 680 Che*ke Drive- Redwood City, CA 94063 . 415 364-9600 FAX 4 ;9233 <br /> �UOIA ANALYTICAL <br /> �_ y ( ) f _ <br /> ❑ 819 West Striker Ave. •Sacramento, CA 95834• (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM - Concord, CA 94520• (510) 686-9600 FAX (510) 686.9689' <br /> Company Name: � Project Name: f C• <br /> Address:3� Billing Address( if different): <br /> City: 1, l State: C I Zip Code:,w-S Q <br /> Tele hone: C) / v FAX#: P.O.#: <br /> U <br /> Report To: e iSampjeC. <br /> 11 �L4 J�Jdl\l QC Data: ❑ Level A(standard) ❑ Level B ❑ Level C Levet D <br /> Turnaround 10 Working Days ❑ 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water [Analyses Re uested ii <br /> Tlme: ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other <br /> Client Date/Time Matrix #of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample# Comments <br /> Lim �' 411584 <br /> rr <br /> k 2. U. <br /> 4. <br /> 5. r <br /> 3 <br /> 6. <br /> 7. <br /> 3 <br /> 10. <br /> I <br /> Relinquished Date: Time: Received By: Date: Time: 3:1 <br /> 3 <br /> Relinquished By: Date: ( & Time: :WQ Received By: Date: me: <br /> Reli uished B Date: Time: Received By La . Date: ) Z Eme: U <br /> rr�� <br /> ��e. ^ C�mnlne Pn,-nnlnri in rnnri r.nnrlitinn?n VA- 0 Nn Ssmoles on Ice? ❑ Yes O No Method of Shipment Pane Po A\ <br /> i <br />