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�r OOJ Jei[V15 Ui1V iviurgan nni, UA `VOU6/ o (4Ub) //b-JbUU ° FAX (4U8) 782-6308 <br /> QUOIA ANALYTICAL ❑ 819 Striker Av ite 8 � Sacramento CA 95834 - (916) 921-9600 FAX (916) 9210 <br /> a- * C]404 N.Wiget La e -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> i CHAIN OF CUSTODY U 1455 McDowell Blvd. North, Suite D o Petaluma, CA 94954 0 (707) 792-1865 FAX (707) 792-0342, <br /> ❑ 1551 Industrial Road a San Carlos, CA 94070 o (650) 232-9600 FAX (650) 232-9612 <br /> Company Name: ;{ b � Project Name: <br /> Mailing Address: ` Billing Address (if different): <br /> City: , State: C� Zip Coders <br /> Telephone- FAX #: P.O. #: �-i�a <br /> p Zc� — 2 —3O >= <br /> T <br /> Report To: &V--, Sampler: � � QC Data: P-Level D (Standard) 0 Level C 0 Level B ❑ Level A U <br /> Turnaround 10 Working Days D 3 Working Days ❑2 S Hours U Drinking Water ! Analyses Requested <br /> Time: ❑ 7 Working Days ©2 Working Days U Waste Water o_ <br /> U 5 Working Days O 24 Hours 0 Other <br /> Client DatelTime Matrix # of Cont. Sequoia's <br /> Sample [D. Sampled Desc, Cont. Type Sample # � <br /> Comments <br /> 1. j.�l E-0-� <br /> .o <br /> 2. <br /> (D <br /> m <br /> 3 r <br /> 0 <br /> 4.5. <br /> 6 <br /> 7. 2— <br /> Kco <br /> .o <br /> s. <br /> 9. ' <br /> 10. <br /> Relinquished By: 6. '�V� Date:. Time: C/ Cb Received Timer[6o <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Woo,?. Saiz pies Received in Good Condition? U Yes U No Samples on Ice? .i Yes CJ No Method of Shipment Page of <br />