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EQ <br /> lO I �/TI�A ` 0 Cheoake Drive• Redwood City, CA 94063• (650) 364-9600 FAX (65 4-9233 <br /> L ; �Vi#�y EIIA <br /> S � .1!111 �'1 ❑819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916} 921-0100 _ <br /> W CH N' � iTt f►` <i�USTODY ❑404 N Wiget Lane• Walnut Creek, CA 94598• (510) 988-9600 FAX (510) 988-9673 <br /> 1, 1,Vii: �r' I it 1- <br /> F <br /> Company Name. 'ir Protect Name t r t <br /> Address r�(o0 Y i S Billing Address (if different) <br /> City ,�'S State dip Code <br /> Telephone w� 79_ FAX # _51 - ZZ PO # a <br /> ReportTo,� „�, Sampler A ��bYeS QC Data 11Level D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> ASUAA <br /> Y <br /> Analyses Re uested <br /> Turnaround 0 Working Days ❑3 Working Days ❑2 -8 Hours CI Drinking Water Y q <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hoursit M(� ther <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Coni Type Sample # <br /> 1 MVJ- 3 ►oorr9s ion .3 &,-1° `" 4 ✓ 0 <br /> 0 <br /> Cr <br /> 2 - 1020 3 a �/ <br /> 4 <br /> 5 <br /> W <br /> 6 <br /> 7 i a <br /> � k � <br /> 9 <br /> 10 <br /> F.1 <br /> Relinquished By j�-�L.t�— T ate Time Received By Date /p Time <br /> Relinquished By Date !a Time Received By Date Time <br /> � <br /> Relinquished By Date Time Received By L r Date tb Time 1 ; to <br /> as Received in Good Condition? 1'es ❑No Samples on%J 3/Yes ❑No Method of ShipmentFZ pa3E <br /> of <br />