|
E6ZUOIA ANALYTICAL �0 Chesap*Drive;• Redwood City;'CA 94063 (650) 364-9600 FAX (650) 3 .33
<br /> ❑ 819 Striker Aye., Suite 8 * Sacramento,., 95834x. 9,16 921-9600 FAX 916 ,921- OQ-.
<br /> ( . )... . ( ) `.
<br /> CHAIN OF CUSTODY-,° ❑ 404 N.Wiget Lane •Walnut Creek'RC K9459.8 • (925)•988=9600 FAX1(925) 988-9673
<br /> ❑ 1455 McDowell Blvd. North, Suite D Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342
<br /> Company Name: "' �: til ;�` ,. WG Prp ect Name:. !'► Js-s �O�
<br /> ss h.� � g .., 't a a %729 b
<br /> Mailing Address::��� / Billing Address (if different): '
<br /> !y1 11✓� w�7RGa= B.
<br /> City: O r�e S7'o State: Zip Code: 9r3si.
<br /> Telephone:�Q _ C _ zzzI FAX #: �- Ste- Z�Z P.O.#: T
<br /> t q _
<br /> ; Report Tbf.�1re� VQh Alt
<br /> N Sampler: .'A.�ft' �"�plre S"� s
<br /> QC Data ,� evel.D-(Standard)Y `.❑ Level C =;❑ Level B ❑ Level.A ° U
<br /> Turnaround 10 WorkingDay, gs .O 3 Working Days, El8'
<br /> 2,- Hours ❑
<br /> l Drink
<br /> 9
<br /> in Water ' Anal ses'Re uested ' •- t
<br /> * ' r. � K •_ �;i y q
<br /> Time: C1 7 Working Days D 2 Working Days S '❑Waste Water
<br /> ❑ - 5 Working Days .0 24 Hours
<br /> ,_Client , Date/Tjme ;Matrix :#;of Cont�`� Sequoia's
<br /> Y h Comments ma .
<br /> Sample.I:D. Sampled Desc r Cont{ FJ45TypeM; -Sample,#..
<br /> r i i r
<br /> ca
<br /> rAf obomAw6y'Y Yf- x' ;x at ti i" o- Tfir+
<br /> , Cr
<br /> / rt•-' qr, - �:, + ,w `- �'f'L �; ani L- , `� •k'�!
<br /> -•
<br /> ,00
<br /> { .. _ .- ,.�.� �:.`,';A.,,1 F r=•,a, 'l..�.�:-�__ti.�:'.Y`:.^^��44'''��3.;Y'/Ms h4:!"
<br /> tea"aI, " J�'y l3�t`c`r-l�:`}'t��.F�-•rF} �!.,�a:f�/".J- i<.y.-r--wn'•- -`n'.' ,3. , -. i tsA14
<br /> 4. , �t :'�`�Lr';,: aF��t'-� ��''' •'�'sSa -°`F*�, �� -a'{�ti -,.x�{r, SSk-�'i's'i'ti
<br /> - - r. r,}oN-•c<
<br /> -4
<br /> :.
<br /> i-::B = .1 . ::'i.3. '1�3� :..`""."" .' `E:-.;+�r,� * i� ?.,• 1�5 �' .•� 1'`' `: �3 f ,t ,a _ ,1� I'..x': .a_' .
<br /> . �1' - +. �r:,.�, s =1:3 4'_t R. i x - ,:.' 4 ,�44 '�r.,`°_:r` .'. �l�• �. ,.` :' �' �~R�'h" ,r
<br /> tC g'1 Y �1 iyl _ [Z"A i.:3 ; zar
<br /> � •�x � .�, �`r :r. . �,`, _ �-�: ���`�' r ,.:�/y 1 ,� SL ii' ,�:�� �:` -g'G i°"'i 5 ,xJ �, '?� r- 'i' r ,r
<br /> -f - �. q fF•�e•, - ,3._ s �!-�.. � -g•'f.� ... � 1f�• nr�+.- f, k 1 7 +.F`r�i. '.�i'-;• �¢&�." r 7 �,x. h-s ySr.;«t-'S-�- -�� (�.
<br /> j= !,: _ `„c i+v' �• 'L ..t'•+'^,t;•.- 't!!: -/•ti�ti " 4� '•€ � .9riL T. a- - ,s £ -r{• i'.ti !i. h'te y Fs. '�'•i Ir� '.'� Nn! n
<br /> �- .. 'Q `i !-��• ' y' - ''La.a v_ :r'�`'r'•a a ti.. -+f`-r..i�n
<br /> 'r" "4-"a'}•.:+ -t .`i a+f. �F 'ice+, {, i`, 01-_ I i.'.�b--.:.il - 'L: ;�
<br /> - _ -f,> ?s�� -:.3 ..� :r•t �j.c :t r „7 ,ren -.�y ,.,t:,''y� e��•e. 4,a?
<br /> -it?' L� ..z:�i' Sx...^ .}3.9^ , f.< T".+�.r�e.;.ti.:��• f ^�(n-
<br /> K7.
<br /> rl'.i J rl ti C":�. i •r r �. i' _-t -;- t-t.riy t '.r F ;7n. �.- ,r '� .h.. r'tn. - _ -1 '< ° .='F_.:•.t,:,,�• r F X4"5 - t„• +.
<br /> � i' � :i♦ ..4 �',�.. ..iY ..Y: ,Jl, ix-•'�, f1.' 1 y.+. 'R. �4. iii i" 3+<,�}h. ? �'•N :l- -x � i
<br /> ` '-T. _ r.-..'0. P•' i , '-� T• !- ��-'�!S-�; .4Y�..'..�>.17$:�F7..� �{ +."}'��.•" �ES Iv.i� � F. *3 >.... ,1 �`r}il L h f Jx,s t„1 'S.r.�.
<br /> 10:
<br /> ,�'- M1 "`{•- i ;i - ,.t" •r;7` t- 'ix:' !1 P' hy. y �% _:r: .'�'"` '�i -•'S,`.x ,i. r'• 7' �t y`r:
<br /> Relinquished By =' rte_ Date:Q Q Timer Mecei�ed By ,�;,: mac , _ ©ate „( Tfine:I :
<br /> �•r
<br /> � ,si- Fx. ^%'Srys.,'..TS _ rs,r� - 7.5Fr.ao r ��� .ti iE ..5,,. - Y-; 1.'f! k- k •r,'�'•' r
<br /> Relinquished By: Datea:'z Time °art 'r" Received By 3- Date. Time':
<br /> _ .v 't�, :�-. , •,�. ,y..,'y.._ x _r,,�� t,. �.� #-.Y.d.':S. y -5� Y.,,,.�,, ��•' •••1w't'P'�4�- „ti - - _, 'r�� -f�,,c'�� ,Y �,s
<br /> - r�'4 -d: _ d •,i,.- �.i ••c• +sSH wl .�."- r_SS_ ..p+„'� ;4• c 4�- •.:� +'�y' ( ^ r.rt-
<br /> z. wished By-'-.
<br /> i- - i :Dater ' Time"" � :Received�B Lab "- SMA Date ==�Y
<br /> Relinq '"Y; + .. Y mE� s. ,� m '
<br /> i, t.v .y�'4.;�,e.
<br /> .,i
<br /> ^y-. ?J'-;` r•-,»r �, •r,...#�.'. +.�'.
<br /> i"�•� ;; r> etx�,x„ .:, ,r, i• x.,•. rF-3
<br /> Were Samples Received in Good Condition? ❑Yes t YN:o i Samples"on Ece7�.f s ;O Nom `Method of Shiprrient_ _� P.a e= _` ,of
<br /> P 'o q-�-. ` :��» ..�.y ,l'"•�;, - ��{ .. �?:�'l' xs.• , � -4-r';i.r
<br /> i-nP..;>- e '.ate.-., �yi.,.�-�i 4;' _ cte i•54`r .`•:` '=¢ � M as. .s-
<br />
|