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M 1=1 M IM M M M M M M I• M M II• MM <br /> QUOTA ANALYTICAL ❑ 680 Che Wake Drive• Redwood City, CA 94063 • (415) 364-9600 FAX(414-9233 <br /> ❑ 819 West Striker Ave • Sacramento, CA 95834 . (916) 921-9600 FAX (916) 921-0100 <br /> Iwo CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM • Concord, CA 94520 - (510) 686-9600 FAX (510) 686-9689 <br /> Company Name E, _ - , Project Name <br /> Address �,� Billing Address { d different) 7 ,� <br /> C Sl"t ,. <<,�,� , State (_A zip code r S S 1 C,f- ��.�r�S� <br /> Telephone /, 3 36 f FAX# PO # <br /> Re rt To V, L ISampler L cs�-c OC Data evel A(standard) ❑ Level B ❑ Level C ❑ Level D U <br /> Turnaround r Mo Working Days ;a 3 Working Days �❑ 2 -8 Hours ❑ Drinking Water Anal ses Requested eL <br /> Time* ❑ 7 Working Days C) 2 Working Days( [V,'.j L•�} ❑ Waste Water � <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other AL1\�N1 <br /> Client Date/Time Matrix #of Cont Sequoia's <br /> Sample I D Sampled Dese Cant Type Sample# Comments <br /> Cr <br /> 3 0 <br /> a� <br /> 4 } <br /> 5 <br /> 6 <br /> 7 <br /> 0 <br /> 8 Cr <br /> 9 <br /> 10 <br /> - 1. 4 1 1 1 1 -- - 1 1 1 ----1---------- <br /> Relinquished By CQQ"—& Date 2- Time � d-2) Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received B Lab -lute n ime <br /> Were Samples Received in Good Conddion9 0 Yes 0 No Samples on Ice' 0 Yes 0 No Method of Shipment Page_of <br />