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r■r r rr r�r rr r� rr rr r� rr r� r� <br /> �QUOIA ANALYTICAL 680 Chest a Drive• Redwood City, CA 94063• (650) 364-9600 FAX (650)—9233 <br /> ❑ 819 Striker Ave Suite 8 • <br /> Sacramento, CA 95834 (916) 921-9600 FAX (916) 921-0100 <br /> 1W CHAIN OF CUSTODY ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name�1�� t ,5 Zr'�r j��. 1},, Protect Name `. 1Z �, t je ) "'11,6'.., 6-3 <br /> • Address R /'�r �.Y �� � �;�� ;_iL, IS <br /> ' Billing Address (if different) <br /> City , _ States, Zip Code t <br /> Tele hone � -2 '- FAX # r <br /> Report To �eeo o I r�4� Sampler o - QC Data tp evel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Y <br /> Turnaround ❑ 10 Working Days 3 Working Days ❑2-8 Hours ❑Drinking Water Analyses Requested <br /> Time ❑ 7 Working Days ❑2 Working Days UO2- H (2-% ❑Waste Water n. <br /> ❑ 5 Working Days ❑24 Hours W r <br /> Client Date/Time Matrix # of Cont Sequoia's , <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> 1 ^c p 3� r- ! m <br /> 2 VPtj <br /> t�155 � <br /> u � <br /> "t k �i L I <br /> S <br /> v <br /> M } <br /> t <br /> r <br /> # O <br /> 8 D <br /> 1 <br /> .c <br /> 10 <br /> Relinquished By ti'', Date t!eo,� Time 1,74. keDate �,,�� Time <br /> Relinquished By Date Time Received By Date i Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? 0 Yes ❑ No Samples on Ice? ❑Yes I-PIfo Method of Shipment Page_tot_� <br />