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E '45 Jarvis Drivergan Hill, CA 95037 • (408) 776-9600 - FAX (408) 782-6308 <br /> VQUOIA ANALYTICAL ❑ 819 Striker Ave , e 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0* <br /> ❑ 404 N Wiget Lane-Walnut Creek, CA 94598- (925) 988-960b FAX (925) 988-9673 <br /> CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name ATC Protect NameVOYN �e§A <br /> o r <br /> Mailing Address Lona. RA A.vot. Sg,A c Billing Address (if different <br /> City e State Zip Code <br /> Telephone xpq. 57q., Z2Zt FAX # 2C9- 5.7q-22x5 PO # <br /> Report To Sampler QC Data Udevel D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround L?10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> a <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 15 Working Days ❑ 24 Hours 43'6ther <br /> Client Date/Time Matrix # of Cont Sequoia's q <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 <br /> q0 ru 1 <br /> :� Q 5 c r <br /> a <br /> 2 og3s 3 ✓ <br /> 3 <br /> 4 <br /> 5 ' • <br /> n _ - <br /> 6 <br /> 7 $F r,� ityn. A ; r 3 5 0 <br /> Cr <br /> 8 r) <br /> Qr' <br /> 9 <br /> 10 <br /> Relinquished By __,e Date/,, Lo Time ?n Received By 1/zlti �� � Date Time cD <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition'? ❑Yes ❑ No Samples on Ice? W-Yes ❑ No Method of Shipment Cec..�Y i Page—U of J <br />