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M b OTATA ACr ❑ WChf reake "nvo• Redwood City, CA 94 • (47�64-96 FAX * 33 � <br /> ❑ 819 Striker Ave , Suite 8•Sacramento, CA 95834• (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name'€ ��=rc � ; -c„� t Project Name, <br /> Address -:;-.i '-D��� S;:r� Billing Address(if different) <br /> City State CA Zip Code Qy9`19 <br /> Telephone (Lli) *Z - glc>i FAX#- N/T)3&2 -/SYL PO #; <br /> LD <br /> Re ort To tll "7-nc� Sam ler QC Data 3 Cevel D Standard ❑ Level C ❑ Level B ❑ Level.A 0 t. <br /> Turnaround a10 WorkingDas ac <br /> Y ❑ 3 Working Days ❑ 2-8 Hours ❑ Dunking Water [Analyses Requested a <br /> Time. ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water 9 <br /> ❑I5 Working Days ❑ 24 Hours ❑ Other �� 4� <br /> Client i Date/Time Matrix #of Cont Sequoia's y <br /> Sample I D Sampled Desc Cont Type Sample# a� v Comments <br /> Vrf aei %04 ��� t s�a� '� - t 1 0 <br /> 2 5 _Com - C3 A%122 <br /> /� <br /> "-A {< p v <br /> i <br /> 9 <br /> 4 S" -�v •2 ti 1 r i �wK r .� zi i w <br /> 5 S — -Qt tinea', <br /> € <br /> 7 5' +fie K g <br /> a <br /> 8 5 - ta- t�2. trro° _ R _ Zo 0) <br /> to <br /> 3 <br /> 10Ll I <br /> } <br /> Relinquished By ` r,� Date Uz4gq Time Received By Date _Time <br /> Relinquished By Date 4319T Time 49 w Received By Date Time <br /> Relin uished lBy Date Time 1 Received By Lab Date ITime <br /> Were Samples Received in Good Condition?0 Yes 0 No Samples on Ice? 0 Yes 0 No Method of Shipment Page of T <br />