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vv��aaN v'iv u.v�� <br /> UOIA ANALYTICALNMI 819 5�riker A uJ.e - . rar�nto, $3 6) ddV (91 i- <br /> 7-1r� <br /> ❑ 404 N Wiget L •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-96 <br /> CHAIN OF CUSTODY ❑ 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 Project Name <br /> Mailing Address Billing Address (it different) <br /> City State Zip Code <br /> Telephone FAX # PO # m <br /> Report To Sampler QC Data ❑ Level II (Standard) ❑ Chromatograms ❑ Level 111 ❑ Level IV v <br /> Y <br /> Turnaround ❑ Standard ❑7 Working Days ❑2 Working Days ❑ Drinking Water Analyses Requested 9 <br /> 10-15 <br /> Time Working Days ❑5 WO{king Days ❑ 1 Working Day ❑Waste Water <br /> ❑3 Working Days ❑ASAP ❑Other a <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample# <br /> 1 0 <br /> 6 <br /> 2 � <br /> 3 ° <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> Cr <br /> � <br /> 8 <br /> m <br /> 9 <br /> 10 <br /> Relinquished By Date Time Received By Date Time <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 0 No Samples on ice? ❑Yes 0 No Method of Shipment Page_of <br />