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r QUOIA ANALYTICAL <br /> 1 C 9 $0 CTesapea ive •'" eedwoo"y, C�63 • ) 3EW00 "650 - � � <br /> f1 Li D 819 Striker Avelite 8 • Sacramento CA 95834 • 916 921-9600 FAX 16 21- <br /> ( } (9 ) 9 0� <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: - '6Project Name: ? ki, <br /> A5sr Q l it 11� <br /> Mailing Address: �Jrft� 0 nL T%jIm Ave. .StL ,t E, Billing Address (if different): <br /> City: l� �o�_�.© State: �: � Zip Code: <br /> Telephone:-O _ 5'79 E FAX #: � P.O. #: <br /> Report To. m I r <br /> U <br /> Sa e . QC Data: Level D Standard '6e�+e1 C ❑ Level 8 ❑ Level A <br /> P P <br /> Turnaround �0 Working Days U 3 Working Days ©2 -8 Hours U Drinking Water Analyses Requested <br /> IL <br /> Time: ❑ 7 Working Days 0 2 Working Days 0 Waste Water } <br /> 0 5 Working Days ❑ 24 Hours Phther <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> Comments <br /> Sample I.D. Sampled Desc. Cont_ Type Sample it <br /> x o ,�, t,per for,- <br /> 1. iti� - D�i(�1`i D1 r`� .J ��jrA S;r L� Q}C _ 7 r tt�E S Cy o <br /> � <br /> 2. r qtr `gw +`tc. N <br /> U) <br /> 3. <br /> 0 <br /> I r <br /> 4. <br /> 5. <br /> 6. <br /> 7. o <br /> n <br /> a� <br /> 8. (n <br /> a� <br /> 9. x <br /> 10. <br /> Relinquished By: P tw,{,�, f.rd_✓11.,. Date:Q ZZr, Time: Received By: f({..•_;:.. f Date:, _r5 Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: ,RReceived By Lab: Date: Time: <br /> Were Samples Received in Good Condition? 0 Yes 0 No Samples on lee? ®'Yes 0 No Method of Shipment Ce')g 14;' Page T of L <br />