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❑ 680 Chesapeake&e a Redwood City, CA 94063 a (650) 364-9600 FAX (650) 364- <br /> Mir ❑ 819 Striker Ave , Suite 8 e Sacramento, CA 95834 a (916) 921-9600 FAX (916) 921-0100 <br /> WO CHAIN of CUSTODY X404 N Wiget Lane a Walnut Creek, CA 94598 a (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D e Petaluma, CA 94954 e (707) 792-1865 FAX (707) 792-0342 <br /> Company Name M bN 6 f-Q9-1J W(g— Protect Name Gtho --T—V-& <br /> Mailing Address 3o —A `ty-, v Billing Address (if different) <br /> City StateZip Code q C <br /> Telephone q25--(00b— <br /> Report <br /> 25-,�D 6b_ C1/ FAX # Z��� —��� PO # <br /> Report To TaA(4C 5ampler �(,� (Qr/[�f� QC Data evel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround ❑ 14 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> Time >K7 Working Days ❑2 Working Days S ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours —POFF EJ Other <br /> Client Date/Time Matrix # of I Coonnit Sequoia's � <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 13 3 a 3 VOA-15 <br /> 0 <br /> 2 256--L 1��OU �C -k v <br /> -3 <br /> 5 <br /> 4Q--k <br /> Sr <br /> 66&1Zq i �ZS 0� #K 13'9 0 5511 1 x <br /> b 7 -Z Lq 5-ZS o, <br /> a <br /> Cr <br /> 7 s - L4S-2S 0' �� Zd v, <br /> 10 <br /> Relinquished By Date Time Received By Date Z6 Time rrr <br /> Relinquished By Date 2 6/q3 Time rS `"� Received BJ Date Time J(� <br /> Relinquished By Date Time Received By b Date Time <br /> 1 <br /> Were Samples Received in Good Condition? ❑Yes L) No Samples on Ice? 0 Yes 0 No Method of 84ment Page of <br />