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= = = = = = = = M w o,�y, CPA63M' 30-WO PWE50�W-920 <br /> OQUOIA ANALYTICAL 0 819 Striker AveWe a 11 Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-00 <br /> WeLl 404 N Wi et Lane •Walnut Creek, CA 94598 • (925) 988-9800 FAX (925) 988-9673 <br /> CHAIN 4F CUSTODY U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • {707} 792-1865 FAX (707) 792-0342 <br /> Company Name L <br /> Project Name G..- <br /> Mailing Address Billing Address (if different) <br /> 61 <br /> City State Zip CodeCA <br /> FAX # PO # m <br /> Telephone r.�4q2,6 � 2 �� X40� <br /> Report To Sampler L , r OC Data U Level D {Standard} El Level C ❑ Level B ❑ Level A <br /> U <br /> c <br /> Turnaround 10 Working Days LJ3 Working Days ❑2 - 8 Hours U Rnste Water <br /> Analyses Requested a <br /> Time ❑ 7 Working Days Ll2 Working Days Wate Water ! <br /> ❑ 5 Working Days U 24 Hours ❑Other s , <br /> Client Date/Time Matrix # of Cont Sequoia's ��r� ,,p� Comments <br /> Sample I D Sampled Desc Cont Type Sample # fit! <br /> 1 zlD9 ioa$ w Z `� �,L 81;.094 V, V' o <br /> C <br /> 12/�o�a8 Cr <br /> 8120942 <br /> 2 — z Z- <br /> i z/ia11g2. 812094" _ <br /> 3 M�V --7 1 a �- <br /> f 812094 <br /> �3A k : zz <br /> r /ao/q g 3 812094"- <br /> 5 — <br /> I`z-/rod-r 812094 <br /> s MW— 3 <br /> a <br /> 7 Cr <br /> rn <br /> s <br /> 9 <br /> 10 <br /> Relinquished By Date f�y i <br /> Time Received By Date Ju <br /> Date Time Received By Date <br /> Relinquished By Relinquished By Qate Time Received By Lab Date � <br /> Were Samples Received in Good Conditions U Yes U No Samples on Ice2 U Yes U No Method of Shipment <br /> Page —L of <br />