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UOtAK ANALYTICAI , ,t = 80 Chesapeak e• Redwood City, CA 94063• (650) 364-9600 FAX (650) 364- <br /> s. , #+.,.i.ua.s.J , .� ,"f, ❑ 819,Stnker Ave , e 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-010 <br /> r `vCHAIN_�I•° CUSTODY' `�`'}-';©'404 N�Wi 'et Lanei•Walnut Creek, CA 94598 • (925) 988-9600'=FAX (925) 988-9673 <br /> rO 1455 McDowelk'Blvd,North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342. , <br /> , p <br /> Company Name'�'� ;��.y �� >, 4 �'u � Protect Name OG � � <br /> �Jsti <br /> Mailing Address 07 Billing Address (if different) <br /> 12 <br /> City C� State Zip Code <br /> Telephone ,.. r FAX # PO # <br /> ` Report To - �~ _ Samplerit�X'z�i=, oe5 QC'Data evel D (Standard) ElLevel C ❑ Level B ❑ Level A U <br /> Turnaround 10 Working Days 9 Working Days ❑2-8 Hours ©Drinking Water Analyses Requested a <br /> Time ` ❑ ,7 Working Days , El2 Working Days, y `a r , ©Waste Water . <br /> —� <br /> ❑ 5 Working Days _ _ ❑24 Hoursr! , <br /> Client _ Date/Time = Matrix # of Cont `. Sequoia's ''stir o <br /> _ ,lSample 1'6 } ~ '} -°Sampled - Desc Gong ,1 Type . ,t-aSample # d Comments <br /> 1 a-- 0, 15 L <br /> ' ! 0 <br /> fr <br /> V/ -� C t � <br /> r x <br /> 2 J � •• t� i' �r tS 1�i t; Gt, sNJ' ��qy�, �.. Ur�► ,,�^^ <br /> YY�Y Vl <br /> -Our <br /> L4, <br /> w�1 Cyt <br /> r O ct1� Z Tui k"'. V l7 5 <br /> 'z 1 J" nu_ L r "r•a _+t� 1f` 'y^?e '^. ,k'r" r > k, <br /> 41—r4rY e,'.�k'^o-�. ��,; 3��k�,r`� �x, , `' 4"., e, -z ;"7 3 <br /> �— tom''..' <br /> jL <br /> 'F r <br /> O <br /> N <br /> �9 <br /> f3�Z Date f�-1 r-9� Time <br /> J' relit quashed Bye T 'Date( 12Z9g Time Received By <br /> x <br /> x i � <i w9r # 7F z t `, s <br /> s �, F ., J �, f Date Time <br /> quished By-u'`T ��,' �' t §Daes ; �i�', Time k� �is�ry Received By, �, <br /> )`)+PN- S L, ca,db.k�; Received <br /> ecex i=v�erdd Byytldaf tbuil°c <br /> Date TimeDate <br /> maRlelnquished By � , <br /> � �,T� tr.'..�. rt er'j"rF}� Y+�f' � y� f <br /> Were Samples Receive' in Good Conditiari7 ".❑Yes- ❑No <` - Samples on fce x es- ❑No Method of Shipment Cf? 1���.f Page 1 of <br />