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l6�UOfA ANALYTICAL ❑ 680 Che f ke Drive- Redwood City, CA 94063• (415) 364-9600 FAX(41 4-9233 <br /> ❑ 819 West Striker Ave - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM - Concord, CA 94520 - (510) 686-9600 FAX (510) 686-9689 <br /> Company Name - , Protect Name C `� <br /> Address I in/ _2Billing Address ( 0 different? � <br /> City S�csa.a State (-� Zip Code SSS/6 ,,A- <br /> Telephone <br /> ,A-Tele hone of y 3 33 FAX# P O # <br /> m <br /> Report To Sampler OC Data evel A(standard) ❑ Level B ❑ Level C ❑ Level D <br /> Turnaround 10 Working Days §J 3 Working Days �❑ 2 -8 Hours ❑ Drinking Water Anal ses Re uested a. <br /> Time- ❑ 7 Working Days 132 Working Days( [ ,4r �') ❑ wastewater .� <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other <br /> r41 <br /> Client Date/Time Matrix #of Cont Sequoia's <br /> Sample 1 D Sampled Desc Cont Type Sample# Comments <br /> 2 <br /> Cr <br /> 3 <br /> 3 <br /> m <br /> } <br /> 4 <br /> 5 <br /> 6 <br /> 7 a <br /> 8 3 <br /> Q <br /> m <br /> N <br /> 9 <br /> 10 <br /> ' Date �- Time 'c d� Received B Date Time <br /> Relinquished By y <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab ( � 9)5J-0ate nTime <br /> Were Samples Received in Good Condition?G Yes❑ No Samples on Ice? 0 Yes 0 No Method of Shipment Page_of_ <br />