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rlr ! .r `. i4!` ° ,y'-.i4.r -.5 L .,yl.».. .i�JS-h v`t .1..,-A w r^_♦ YS..Yr �"Y w,r.�i.""44cr •is.+�i;i'i'_ .. .3 rl r s 2.74 wT� <br /> OQUOIA ANALYTICAL 11 80 Chesapeakve • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-0 <br /> Ll 819 Striker Ave , uite 8•Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01 t <br /> NW- CHAIN OF CUSTODY ❑ 404 N Wiget Lane•Walnut Creels, 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 /> Company Name ATL AsdG:4AteS L. Protect Name onkin"' U Ash (A (oZ.�3�b.0O4� <br /> Mailing Address III'( Lone Ita� AVe . � �„ g Bilking Address (if different) <br /> City Mo&s% State CCA- Zip Code q5,7,�T j <br /> Telephone 2jM.w 579- FAX # ZM-5-fcl 5 PO # - <br /> Report To �YeW ah mem, Sampler Ak x t bores QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Turnaround 0 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> IL <br /> Time © 7 Working Days ❑2 Working Days ❑3 Waste Water <br /> ❑ 5 Working Days ❑24 Hours V-OftherQjN <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> � s <br /> 1 - <br /> 052.1c1 ia,lu ' ✓ ✓ <br /> a <br /> .2 �� ✓ vCr <br /> 0 <br /> 4 <br /> 5 <br /> 6 <br /> 7 O <br /> a) <br /> 8 <br /> 9 <br /> 10 <br /> I <br /> Relinquished Byi Date OC <br /> ,7ffl Time !%f Received By Date Time <br /> Relinquished By Date Time Received By Date/ Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? 0 Yes ❑ No Samples on Ice? KYes ❑ No Method of Shipments w e i' Page of l <br />