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680 Chesa eak�ive • • <br /> OQUOIA ANALYTICAL � P Redwood City, CA 94063 (650) 364-9600 FAX (650) 364- . <br /> ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX 916921-0100 <br /> qW 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) 792-0342 <br /> Company Name: Tc � � Project Name: SQs b 5 �� ,�� Sc oc� <br /> Mailing Address: Billing Address (if different): <br /> City: + 5� State: « Zip Code:c{53 S71 <br /> Telephone:Zo`i S7q. �ZZ1 FAX #: 769•57c( Z .S P.O. #: <br /> Report Tb.—I-,� Sampler:—V—,3,,,, LVV.r0AatA QC Data: Level D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Y <br /> Turnaround �$ 10 Working Days ❑3 Working Days ❑2-8 Hoursr� ❑ Drinking Water Analyses Requested <br /> II d <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours 77�G�w U�� Other <br /> av <br /> Client- Date/Time Matrix # ofCont. Sequoia's Comments <br /> \� a <br /> Sample I.D. Sampled Qesc. Cont. Type Sample # <br /> S0;! -tsx <br /> m <br /> ,/ o <br /> 2 -M+wl'tS•S 1: G"L J( 11 ami <br /> 4. <br /> r <br /> 5. <br /> 6. <br /> 7. <br /> 0 <br /> Cr <br /> 8. N <br /> U) <br /> m <br /> 9. .. <br /> L <br /> 10. <br /> • Relinquished By: Date:q,-z4 Time: 10:6Received By Date,V f Time:OD� <br /> Relinquished By: Date: - Time:4W Received By: OHYWIO-c,_t_r- Date: Time: 17b <br /> . K <br /> Relinquished By: Date: Time; Received By Lab: Date: Time: <br /> Were Samples Received in Good Condition? 0 Yes .❑ No Samples on Ir.P? 0 Yas n No AApthod of Shinmant n r <br />