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�v, l,lu,c,,u, 11111, i—A U!D03r • ( EU.) r rto yJUUU • I AA ( 1utS) rtic UJUti <br /> � <br /> *QUOIA ANALYTICAL ❑ 819 Striker Ave , `�B • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 92 1-0100 <br /> = <br /> ❑ 404 N W1get Lan alnut Creek, CA 94598 (925) 988-9600 FAX (925) 988-9673 <br /> CHAIN OF CUSTODY ❑ 1455 MCDoweO Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industnal Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name �rG � <br /> Prosect Name i� � <br /> Asscc uj e <br /> Mw1mg Address t tl-[ Billing Address (if different) <br /> City state State Zip Code 53x1 ' <br /> Telephone ] 5-1 "ZZZ FAX # ��-Z - ZZZ� PO # <br /> Report To � Sampler ��e5 QC Data Level D (Standard) ❑ Levet C ❑ Level B ❑ Level A U <br /> x <br /> Turnaround j:r10 Working Days ❑ 3 Working Days ❑ 2 8 Hours ❑ Drinking Water Analyses Requested]a <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑Waste Watei <br /> ❑ 5 Working Days ❑ 24 Hoursther��� <br /> Client Date/Time Matnx # of Cont Sequoia's !�'�' Comments, <br /> Sample I D Sampled Desc Cont Type Sample # �� <br /> 1 123 t-QT _0 <br /> 0 <br /> 2 'VQ-2 t L !� ✓ �/ <br /> Cr <br /> ,, `` r/ ✓ ✓ } <br /> EJ <br /> 7 s� <br /> Cr <br /> m <br /> 8 , <br /> a� <br />� 9 � <br /> 10 <br /> Relinquished BycX.� Date �j Q Time [S$Cl Received By 4-t) //071,0 f9ate 0 ;01 Time <br /> Relinquished Byy �/ Date Time Received Bye � ;y — Dated c Ov Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? J Yes J No Samples on Ices Yes No Method of 5htpment �, tU� Page of _` <br />