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l ANALYTICAL ❑ 680 Chel&ke Drive•Redwood City, CA 94063• (415) 364-9600 FAX (41 -9233 <br /> JX*QUOIA 819 StrikeTAve., Suite 8•Sacramento, CA 95834•(916) 921-9600 FAX (9 921-0100 <br /> • reek 00 CA 94598 . 510) 988-96FAX (510) 988-9673 <br /> CHAIN OF CUSTODY ❑ 404 N. Wiget Lane Walnut c <br /> S� <br /> Company Name: Project Name: <br /> Address: Billing Address(if different): <br /> City: State: Zip Code: <br /> c <br /> Telephone: FAX#• - 0 P.O. #: <br /> ` J <br /> Report To:�n�(� Sam ler. QC Data: ❑ Level D Standard ❑ Level C ❑ Level B ❑ Level A Y <br /> c <br /> Tumaround ❑ 10 Working Days ❑ 3 Working Days Cl 2-8 Hours ❑ Drinking Water JAnalyses R nested <br /> Time: ❑7 Working Days ❑2 Working Days ❑ Naste Water <br /> ❑5 Working Days, ❑ 24 Hours er <br /> Client DateJTime Matrix #of Cont. SdquoWs Comments <br /> Sample I.D. Sampled Dow. Cont. Type Sample# <br /> 1. cod <br /> 2. rx <br /> 3. a <br /> iY. <br /> 4. .� <br /> f <br /> IT <br /> 5. <br /> 6. <br /> 7. <br /> 4y, <br /> 8. <br /> L <br /> 3 <br /> 10. <br /> Relinquished By: Date: Time: Received By: Date: ime: <br /> Relinquished By: Date: Time: Received By: (� a�Q rR' Date: 1.1 ime: <br /> Relin wished By: Date: Time: Received B Lab: Date: ime: <br /> Were Samples Received In Good Condition?O Yes❑No Samples on ice? ❑Yes❑ No Method of Shipment Page _of <br />