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M M M M M M s e■■� r = = M M M M <br /> QUOIA ANALYTICAL © 885 Jarvis Dri Morgan Hili, CA 95037 • (408)776-9600 • FAX (408) 782-630 <br /> Ll1455 McDowe Ivd, Suite D + Petaluma, CA 94954• (707) 792-1865 • FAX (70 2-0342 <br /> 1WV CHAIN OF CUSTODY ';&- 819 Striker Ave , Suite 8 + Sacramento, CA 95834 0 (916) 921-9600 + FAX (916) 921-0100 <br /> ❑ 404 N Wiget Lane + Walnut Creek, CA 94598 • (925)988-9600 • FAX (925) 988-9673 <br /> Company Name -1>, Ars Protect Co-,( <br /> Mailing Address 871p Billing Address (if different) <br /> City A.— va...;, State e,&_ Zip Code qtS(a,p <br /> Telephone Sao SZI 5-L Fax# 6­50 -- Z-3 PO # <br /> Report To 'i3q ,er E-mail Address 1Lcla.a` Qr �a,* s�� QC Data R Level II (standard) ❑ Level III ❑ Level IV <br /> Sampler '�{yp,�,a.� Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround 10-15 Working Days © 72 Hours MANDATORY ANALYSES REQUESTED Please Drovide method <br /> Time (Standard TAT) ❑ 48 Hours Jd SDWA(Drinking Water) <br /> D 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) pi <br /> © 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> ❑ Other <br /> i <br /> Client Date 1 Time Matrix #of Container Sequoia's tib Comments! <br /> Sample I D Sa led Desc Cont Type Sample# Temp(If required) <br /> 1 GPT fir .S r o 3��� Vj I L A i 331111 OL <br /> 2 57X /2.10 1 K_ <br /> 3 S1 AT moi <br /> 4 S2.S <br /> 5 S3. /dye► <br /> 6 <br /> 7 & UJ40 ? W I rL, ice•+ <br /> $ toO�f� ef�rs��row <br /> � � <br /> 9 <br /> D <br /> 10 4t <br /> Relinquished by I Co Received by 1 Co Date/Time/Temp f� G o3 <br /> Relinquished by I Co Received by/Co Date 1 Time 1 Temp <br /> Relinquished by 1 Co Received by 1 Co Date 1 Time 1 Temp <br /> Relinquished by/Co Received by 1 Co Date/Time 1 Temp <br /> Were Samples Received in Good Conditions Yes ❑ No Samples on Ice? )i(' Yes ❑ No Method of Shipment Page of <br /> White Sequoia Yellow Sequoia Pink Client <br />