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06 <br /> a n rWQUOIA ANALYTICAL dlo - veCam.. <br /> - Redwood City, CA 94063 - (650) 364-9600 FAX (650) 3640 , <br /> ❑ 819 Striker Ave , Suite 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 _ <br /> A-W CHAIN OF CUSTODY ❑ 404 N Wiget Lane -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-03421 <br /> Company Name A 7Z Ass6c4@,S �hG _ Protect Name ark n _00 <br /> Mailing Address 111-7 (,6n_j� pal . S �, $ Billing Address (if different) <br /> City .� State �.. Zip Code 95.3SI 03 <br /> Telephone 2-OCI_5 ?1z11--11 FAX # Z1�9-5-;9_zz z4P 0 # <br /> Report To Sampler A I �oYGS QC Data evel D [Standard) ❑ Level C EllLevel B El Level A U <br /> Turnaround Pl'o Working Days O 3 Working Days ❑2 - S Hours El Drinking Water Analyses Requested <br /> d <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours Uhher 60 �a <br /> Client Date/Time Matrix # of Cont Sequoia's k Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 D � � � � ���`_�yla l Q � ✓ t� <br /> 2 1355 <br /> U) <br /> 3 1,�' f ✓ o <br /> 5 YJS IA1 <br /> 6 �Av�-(CL 3 �, ✓ <br /> i 3D �� 7 dn. <br /> 7 Mvri, � fes s <br /> U <br /> 9 °' <br /> L <br /> 10 <br /> Relinquished By � Date J0DS9q Time Received By �,,,�. � Date /0-,o Time /f pa, <br /> Relinquished By ` clew Date/a d'1/ Timepoi-' Received By 111§1 Dayo Ti <br /> Relinquished By Date TimeReceived By Date Time <br /> Were Samples Received in Good Condition? 0 Yes ❑ No Samples on Ice? ✓-- Yes 0 No Method of Shipment C-6orl 9111 Page b of 1 <br />