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WIN /"4�k8 <br /> 0 Chesapeake Drive• Redwood City, CA 94063- (415) 364-9600 FAX(415) 364-9233 <br /> 819 Striker Ave , Suite 8• Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> f ❑ 404 N Wget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> �I <br /> ' EAdd,ess <br /> me ! I� / Q <br /> F(vU UA Protect Name # -6////e-; 2- 72f- <br /> 7 7 r ]k K L�� Billing Address ( +f different) �[ S <br /> City �Y�+..G State �' Zip Code <br /> Telephone s -j-7Q-j FA*-*, 7Z F- 37U-IL?Z P o # <br /> Report To &au Sam ler Se-1— pC Data ❑ Level D(Standard) ❑ Level C ❑ Level B ❑ Level A <br /> J <br /> r Turnaround ❑ 10 Working Days ❑ 3 Working Days LI2 8 Hours L) Drinking Water 4 lArialyses Requested <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Workings 2 <br /> Days �24 Hours r' � ❑ Other <br /> n Client Date/Time Matrix #of Cant Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample# �Q Comments <br /> W 7-7 <br /> Sir <br /> 71 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> _ 7 <br /> LI <br /> 8 <br /> � 9 <br /> n <br /> 10 <br /> Li Relinquished 8y Date ime Received By <br /> Relinquished By ecervedf�Y We <br /> 11 Relinquished B `` Date Time f T Received B Lab Date Z + j <br /> Were oles Received in Good Condition?❑Yes 0 No Samples4 <br /> ? ❑ Yes D No Method of Shipment <br /> �o1 _(. <br />