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E6ZUOIA ANALYTICAL Chesapc Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 3iz% <br /> 33 <br /> O 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-�00 _ <br /> qi CHAIN OF CUSTODY ❑ 404 N Wiget Lane •Walnut Creek, 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 -�' � Project Name T-0'N'VWXM <br /> Mailing Address � LoruL T F s, r Billing Address (if different) <br /> City maaes, State Zip Code (15 <br /> 36, <br /> Telephone p _ fir- 7� FAX # ?o_ _z22 PO # <br /> Report To FSarnpler QC Data Level D Standard ❑ Level C ❑ Level B ❑ Level A <br /> P 'r�r� fahA tC tio�rE (Standard) <br /> Turnaround W46working Days ❑3 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses Requested 9 <br /> CL <br /> Time ❑ 7 Working Days ❑2 Working Days ❑``Waste Water <br /> ❑ 5 Working Days D 24 Hours V`Oiher W <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # L;? <br /> 1 Mvj - w, LJU VA1 <br /> 0 <br /> 2 ! 3 <br /> 3 WO <br /> r <br /> 4 M 1r.1- '4 V/ <br /> 5 1,AV.J-5 pyoo 3 ✓ <br /> 6 W-(a 1355 -3 <br /> 7 tA vJ-"r SIO ✓ T3 <br /> 0 <br /> s , w ►335N <br /> 9 <br /> r <br /> 10 <br /> Relinquished By ,, Date 631Time jay Received By ., 411- ! ��U' J ate �f ,T Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> ,jy`�/VRn1 Eft <br /> Were Samples Received in Good Condition? ❑Yes ❑No Samples on Ice? PrYes 0 No Method of Shipment U,0Qf'4A( Page of <br />