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40QUOIA ANALYTICAL 61680 Chesa a Drive• Redwood City, CA 94063• (650) 364-9600 FAX (650) 233 <br /> ❑ 819 Striker, Suite 8•Sacramento CA 95834. 916 921-9600 FAX 916 92*6100 <br /> qW CHAIN OF CUSTODY _ _ ❑404 N Wiget Lane• Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name A Aa�ogialcs Project Name -SrAoueJovi r {e -'S ApH z 4,Z57*+ <br /> Address :Z Billing Address (if different) <br /> City �� State CCA Zip Code <br /> I <br /> Telephone2Qq-- 579_ 227,1 FAX # 20Q_5-79-Z?,Z-5 PO # <br /> Report To f I Sampler A--i rG 5 JOC Data kLevel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> .x <br /> Turnaround 7 `10 Working Days C13 Working Days ❑2-8 Hours ❑Drinking Water Analyses Requested <br /> IL <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours ❑Other <br /> Client Date/Time Matrix # of Cont Sequoia's 't' <br /> q Comments <br /> Sample I D Sampled Desc Cont Type Sample# <br /> �HV <br /> 0 <br /> 2 lU1�J_2 I��� ! S yCr <br /> ---.� U) <br /> 5 - - <br /> 6 t-- - - , / <br /> 7 <br /> _ - -L -0 <br /> IJ <br /> a� <br /> S � <br /> 9 L <br /> 10 <br /> Relinquished By � _�. Date 'Time Received By=ms-C-« _- Date Time (l <br /> Relinquished By Date Time Received By Date 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 ❑ No Method of Shipment Page_of <br />