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U he ke • R d C A 9 • 6 4 9 FA ) 36"9 33 <br /> S UOIA ANALYTICAL a 4a4 tri Aye , S • Sa men , 95 (91 1-9 AX , 92 <br /> N Iget Lane Inut Creek, CA 94598 (925) 988-9600 FAX (925) 988-9673 <br /> Z1W CHAIN OF CUSTODY U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name ��� ( ` t ` A Project Name I .ti , , 1 I <br /> Mailing Address } J i + ? Billing Address (if different) <br /> City s State f Zip Code 1 ; <br /> Telephone t + Z Z c FAX # ct t - t T r S PO # m <br /> Report To r �' =ampler QC Data Level II Standard ❑ Chromato rams ❑ Level III ❑ Level IV h 4 i l ) inn.+ �(�� f� � (Standard) 9 <br /> Y <br /> Turnaround Standard ❑7 Working Days ❑2 Working Days ❑ Drinking Water Analyses Requested S <br /> 10-15 CL <br /> Time Working Days U 5 Working Days ❑ 1 Working Day ❑Waste Water <br /> ❑ 3 Working Days ❑ASAP ❑Other <br /> i <br /> Client Date/Time Matrix # of Cont Sequoia's `��� .tt <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> Q <br /> ` Cr <br /> D <br /> 2 4^ �� r 1 } <br /> 3 <br /> til n,,jA, Ciy p <br /> 4 ti,���� - Hi <br /> 5 i IVE d 3 it- <br /> s � z -nom E <br /> 7 T <br /> a <br /> 7 <br /> Q <br /> QI <br /> 8 � <br /> 9 <br /> 10 <br /> Relinquished By t Date i t az Time Received By ��, r Date 1 _ ' 4 Time J <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? ❑Yes ❑ No Samples on lce? ❑Yes ❑ No Method of Shipment Page —of <br />