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❑ 885 Jarvis Drivorgan i , CA"7 • 776- 408) 630 <br /> 6��%QUOIA ANALYTICAL >41_9 Striker Ave , to 8 • Sacramento, CA 95834 - (916) 921-9600 • FAX (916) 921-is <br /> ❑ 404 N Wiget Lane - Walnut Creek, CA 94598 - (925) 988-9600 - 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 AR \n Ve% 1 rl c . Protect wEs�S e C, S - R94, 0 W <br /> Mailing Address /117 p .1 - Billing Address (if different) <br /> City MaAe-sko State CA Zip Code 5351 <br /> a� <br /> Telephone 2.49_579. 2,-ZZI Fax# 09- 579PO # Payment Received ❑Yes ❑ No T <br /> [Report To . Q.Gtny�Q, E-Mail �� � c.� rt�� ��oli QC Data Level D (Standard) C1Level C ❑ Level B C1 Level A <br /> Turnaround X <br /> 10- 15 Working Days ❑ 3 Working Days ❑2 -8 Hours Mandatory Sampler A �c�L'• a <br /> Time u 7 Working Days ❑ 2 Working Days p Drinking Water <br /> EJ5 Working Days L31 Working Day ❑ Waste Water QJ�y� f)�,� <br /> Other <br /> Client Date/Time Matrix # of Cont Sequoia's ��1 Comments <br /> Sample I D Sampled D,eslc Cont Type Sample # P� <br /> LOWvlowlkx< ! Qt <br /> - <br /> 200 <br /> 0 <br /> CD <br /> 4 3 <br /> t , , 2 <br /> sal <br /> 7 1r -� �1 ` E �/ f o <br /> Cr <br /> 8 <br /> j <br /> 10 <br /> Relinquished By k, ate I-7-vi Time 0790 Received By Aa rc Date y 7 cr Time C9VQ <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By I Date Time I Received By i Date Time <br /> Were Samples Received in Good Condition? ❑ Yes 0 No Samples on Ice?,❑ Yes ❑ No Method of Shipment ( e0I , ,r , fi Page o <br />