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RQUOIA ANALYTICAL ❑ 680 Cheslake Drive• Redwood City, CA 94063• (415) 364-9600 FAX(41*4-9233 <br /> 3 819 West Striker Ave • Sacramento A 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> WO CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM • Concord, CA 94524• (510)686-9600 FAX(510) 686-9689 <br /> Company Name V pG124r3/ FNT ,�,✓✓/i2, ,rG� _ Project Name <br /> Address - 336 X411 G*f 7-4 UT Billing Address ( d different) TG /tC�K/3ElGLf2r/ <br /> COY V�uGY Sf� Skate C4 p_ <br /> Code �SZS� C 41-5y c A <br /> Telephone 2G 77 Z- ale ZO FAX# r,4,-re PO # <br /> ,Report To v G����F,,, Sam ler C. �s�,2„�.. QC Data ❑ LevelA(standard) ❑ Level B L11 Level C ❑ Level D U <br /> Turnaround 10 Working Days ❑ 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water Analyses R nested a <br /> Time. ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other a� � <br /> v <br /> Client Date/Time Matrix #of Cont d <br /> Sample I D Sampled Desc Cont Type Sample# ��al �tiV Comments <br /> YA1119e y x x ()Ll <br /> Q <br /> Cr <br /> 2 tl u- 7- 7 - s� <br /> 3 <br /> 0 <br /> S w <br /> 4 7' <br /> y �/ m <br /> r 7 3 <br /> 5 mow~ 3 mll Q i 00�JL 1 <br /> 7 vw- l y 0 <br /> 0 <br /> 8 v M/- Z- y <br /> 9 <br /> 10 Sw--L 1 4 -04 --F 3: <br /> Relinquished By Date y Time Received By Date Time <br /> Relinquished By Date Time Received By DateTime <br /> Relinquished By I Date ITime 1 Received By La DateUs ime <br /> Were Samples Received in Good Condition?❑Yes 0 No Samples on Ice'? 0 Yes ❑ No Method of Shipment Page_of_ <br />