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-."OUOIA ANALYTICAL 80 Che:peak + ve •`Redwood City, CA 94063+ (650) 364-9600 FAX (650) 364- <br /> 819 Striker Ave"We 8 Sacramento, CA 95834 (916) 921-9600 FAX (916) 921-010 -f <br /> ❑ 404 N Wiget Lane •Walnut Creels, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> 'iii CHAIN OF CUSTODY <br /> A <br /> © 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 .OL <br /> Company Name ric ASS Project Name Ka K 1 5y62581 F GOd� <br /> Mailing Address 1117 L_,5rLL o W, Aqe, SBilling Address (if different) <br /> City A State l-Cl- Zip Code 5M\-O I U V1 VLA <br /> Telephone 2T,_ 5.19 _ . 1 FAX # PO # <br /> Report To Sampler 1 + tQr[S OC Data evel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> c�m L }hex wki�n f x- <br /> Turnaround ❑ 10 Working Days ❑3 Working Days ❑2 -8 flours ❑ Drinking Water Analyses Requested <br /> CL <br /> Time ❑ 7 Working Days ❑2 Working Days LJ Waste Water <br /> ❑ 5 Working Days CJI_I 24 Hours q CJ A P �w5iher <br /> Client Date/Time Matrix # of Cont Sequoia's �L� ��� <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample # ` <br /> 1150 '11-10,rmcldcot MT Be a+ kc Lde <br /> t ` <br /> 2 NAk -(mi <br /> ! V U) <br /> 3 � f <br /> +3 I Z'�ti `� ✓ o <br /> 4 Mut ''- Z 3 0 � ,✓ <br /> 5 N►w-5 L4 <br /> 6 wtVJ-60 Li ✓' ✓ ✓ <br /> 7 �t _1 1� 4 ✓ V o <br /> 6 <br /> 8 e7 <br /> N <br /> 9 <br /> 10 <br /> �r <br /> Relinquished By f- ateP Time/L,d„ Received By �?cf Date —3� Y9 Time <br /> Relinquished By _�` Date% ,3�q Time `j�o Receive Date Q Time Zf' B <br /> Relinquished By Date Time Received By Lab Date Time 1 <br /> Were Samples Received in Good Condition? U Yes U No Samples on Ice? es ❑ No Method of Shipment-cat--Y I elvl Page I of <br />