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J3� OQUOIA ANALYTICAL ❑ 680 Chesaf a Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650)0- -923'3- <br /> qWCHAIN OF CUSTODY ❑ 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name Protect Name E fc� <br /> Address p-� Z Billing Address (if different) <br /> City s em_ State C)'- Zip Code q�-Zze <br /> Telephone _-1-� z -3010 FAX # PO # <br /> c <br /> LD <br /> Report To SamplerQC Data evel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> x <br /> Turnaround TO Working Days ❑3 Working Days ❑2- 8 Hours O Drinking Water Analyses Requested - <br /> rL <br /> Titre ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours ❑Other Jr.k <br /> Client Date/Time Matrix # of Cont Sequoia's �`X J ���� <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> 1 ��- 1 � tqGds L5 � 1 co <br /> a <br /> 2 �`r'2– ...�� a <br /> U3 <br /> 3 Ti J p 3 0 <br /> a <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 0 <br /> _a Cr <br /> 8 rn <br /> 9 <br /> 10 <br /> Relinquished By _ ,�.�� Date Z�? Time 0 p Received t3 Time <br /> f` l j y r Date � <br /> Relinquished By Date y Time Iz°3a Received By—&<VAIDate Time 0, 30 <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Conditions ❑Yes ❑No Samples on Ice? CJ Yes ❑No Method of Shipment Page—of— <br />