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S UOIA ANALYTICAL " vo0 Chesapea)Vrive • Redwood City, CA 94063 - (650 364-9600 FAX 650 364- <br /> . ) ( ) 3 <br /> %W- CHAIN OF CUSTODY ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> ❑ 404 N. Wiget Lane - Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name: ArRot <br /> t Project Name: Odo , <br /> Address: �6 <br /> >bye• Billing Address (if different). <br /> City: State: ell Zip Code:Vj3S1 <br /> Telephone:20q_577-?ZZ I FAX #: <br /> &7-�5/�r P.O. #: 'E <br /> Report To: r 2 <br /> Y-f W �� Sam V QC Data: ❑ Level D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Turnaround ❑ 10 Working Days ❑3 Working Days ❑2 -8 Hours ❑ DrinkingWater Y <br /> Analyses Requested cl I) C) <br /> Time: ❑ 7 Working Days ❑2 Working Daysd <br /> ❑Waste Water c� O <br /> ❑ 5 Working Days ❑24 Hours L�/Olher <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample # �� Q �0 _ � Comments <br /> 2. Lade /1 0 ✓ 0✓ �/ ✓ ✓ ✓ <br /> u <br /> 3. SPSP3 4114. <br /> t/ <br /> 0 <br /> 5- � -- sP 5 2 0 � eti ✓ (/ ✓ � �/ ✓ <br /> 6. Z P- S.B o ✓ �/ ✓ r/ v <br /> 7. <br /> 9 <br /> U) <br /> . <br /> 10. <br /> Relinquished By: IL'Sll Dater Time:/CD4 Received By: 1, <br /> Date. ime: <br /> Relinquished By: Date: Time: Received B ; <br />- Y Date: Time: <br /> Relinquished By: 'Z Q t. Date: Time:/,9 / <br /> /( /,9 Received By Lab: Date:`��I( Time: <br /> Were Samples Received in Good Condition? 4Yes ❑ No Samples on Ice? <br /> p O'Yes ❑ No Method of Shipment Page--I-of <br />