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i i M85 Dri orlaili,�5030W08)4W60�4X (W7824M M i <br /> iz_ QUOIA ANALYTICAL ❑ 1455 McDow d, Suite D • Petaluma, CA 94954 • (707) 792-1865 • FAX (702-0342 <br /> ❑ 819 Striker Av , uite 8 • Sacramento, CA 95834• (916) 921-9600 • FAX (916) 1-0100 <br /> � CHAIN OF CUSTODY ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650)232-9600 ► FAX (650) 232-9612 <br /> ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 <br /> Company Name 1)• ProjectS <br /> r K <br /> Mailing Address Billing Address (if different) <br /> City State Zip Code <br /> Telephone Fax# PO # <br /> Report To E-mail Address QC Data Level II (standard) ❑ Level 111 ❑ Level IV <br /> Sampler Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround ❑ 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please vrovide method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working pays ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardotl,, Uta e) <br /> El Other � � <br /> 5 <br /> Client Date 1 Time Matrix #of CroTSampled Desc, Cont a <br /> Sample I b r comments/ <br /> Sample# <br /> Temp pt required) <br /> rPz . l p <br /> 7 uz- rr{ aM <br /> a 1%, <br /> � <br /> 6 <br /> NK" <br /> J <br /> ILI <br /> N� i_a C <br /> WO <br /> 9 � r - <br /> a <br /> 10 " <br /> AF A <br /> Relinquished Byr ` ^ Date 1 Time <br /> Relinquished By Receive �• Date'/- <br /> Time x-16-oz- <br /> Relinquished <br /> ./G-oLRelinquished By Received By Date/Time LQD2 0;o <br /> Relinquished By Received By Date 1 Time <br /> Were Samples Received in Good Condition? 0 Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page of <br /> White Sequoia Yellow Sequoia Pink Client <br />