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QUOIA ANALYTICAL LIb8U t✓hesapeae Drive• Redwood City, CA94063`((65 0) 364-9600 FAX (65))9233 <br /> © 819 Striker Suite 8 Sacramento, CA 95834 916 921-9600 FAX 916 100 <br /> .1W— AIN OF CUSTODY ❑404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 - <br /> f � <br /> Company Name K l `SS �( C��� S �� Project Name G C o c -stI 1n �2- U57y000 <br /> •Address j {, -67mPhICC, Billing Address (if different) <br /> City State Zip Code 9535/ <br /> Telephone 2,N-67 _ 22Z FAX # 2-09-S79,7-ZZ5 PO # <br /> Report ToSampler `t`t�r� QC Data-3 0- tA0VAASkQ evel D (Standard) ❑ Level ❑ Le U <br /> �c <br /> Turnaround '<10 Working Days Of 3 Working Days ❑2 - 8 Hours ❑ Drinking Water I Analyses R ested 4%-0b�;� <br /> d <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 <br /> Sample l D Sampled Desc Cant Type Sample # Comments <br /> 2 MW-2. 1240 S 2 <br /> V <br /> (D <br /> LO <br /> 3 W - Z 1tJ S ✓ <br /> 4 W- 5 1255 W S ✓ ,✓ v <br /> I <br /> 5 <br /> 6 <br /> 7 T <br /> 0 <br /> 8 Cr <br /> a� <br /> 9 � <br /> 10 <br /> Relinquished By Date OSp 9 ime Received - Date cr,�8 Time S r { <br /> Relinquished By Dateli% Received By <br /> i <br /> A Relinquished By Date Time Received By Lab tee 0.1(94 Time /2: q,/ <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? ❑Yes :) No Method of Shipment Page____of <br /> I <br />