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D�QUOIA ANALYTICAL *%<080 Chesape*rive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 3E 33 <br /> L1819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9604 FAX (916) 921 0 <br /> CHAIN OF CUSTODY .0 404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> LJ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 j <br /> Company Name: h l� SS Project Name: JJ1IQ �ar <br /> yA ffAJJ 7 2 96•60QI <br /> Mailing Address: f 17 Long- .r 4/m Ay. Ju ' g Billing Address (if different): <br /> City: C fees�o State: Zip Code: s �� {► 1 .) f ) <br /> Telephone: ZQ _ - 2-7-2-1 FAX #: 261- 57f. ZZZS P.O. #: <br /> [Report To. D YR_1J >n (tK Sampler: A U-)e- OC Data: LZevel D (Standard) C7 Level C U Level B U Level A <br /> x <br /> Turnaround t0 Working Days U 3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> d <br /> Time: U 7 Working Days U 2 Working Days ❑Waste Water V1 <br /> U 5 Working Days U 24 Hours UV16iherC64 Q x'17' 11-7 <br /> Client Date/Time Matrix # of Cont. Sequoia's a�' Q �y <br /> Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample# <br /> 1. �lUlt- 1 q . 125 1n1 l- 0620'71 ,/ <br /> O <br /> 2. JA [its W 5 062072 ✓ gv- ✓ <br /> 3. vi1 -3 11 y InJ ,5 062073 V" t/ ✓ <br /> Q <br /> i <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8. cn <br /> m <br /> 9. <br /> 10. <br /> Relinquished By: Q,� Date:B 9 Time: t� eceived By: �� OateU, Time: � <br /> Relinquished By: tyZ �iG;.`y� Dated&[1f Time: 7 Received By: Date Time: <br /> Relinquished By: Date:1011 Time: Received By Lab: Date:6Time:---------------------- <br /> O� <br /> Were Samples Received in Good Condition? U Yes U No Samples on Ice? 04's U No Method of ShipmentCztj"' Cr Page/ of <br />