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SQUOIA ANALYTICAL ❑ 68 CF sable i rve• Redwood City, CA 94063 • (650) 364-9600 FAX (650) 10233 <br /> CHAIN OF CUSTODY ❑ 819 Striker Ave , Suite 8 • Sacramento, CA 95834 * (916) 921-9600 FAX (916) 921-0100 <br /> © 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 c, <br /> Company NameTr- Ass Protect Name <br /> es�rec_ T� k <br /> Address V7 �-On-� Billing Address (if different) <br /> City M QST State Zip Code <br /> Telephone 2-09 _579 " Z ZZ FAX # 2M -57J- ZZZS PO # <br /> C <br /> Report To JeaMke- Sampler QC Data V evel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> �c <br /> Turnaround �10 Working Days O 3 Working Days ❑ 2 - 8 Hours ❑ Drinking Water Analyses Requested � <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water a <br /> ❑ 5 Working Days ❑ 24 Hours Mother <br /> G <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Sample 1 D Sampled Desc Cont Type Sample # Comments <br /> I V1 5 Qt`s ✓ ✓ <br /> 0 <br /> �� p <br /> �V <br /> 2 ' 2 I31 5 C <br /> Cr <br /> m <br /> 3 13x7 5 <br /> 4 Mw— /ylD 3/ ✓ m <br /> 6 5 ✓ <br /> 7 <br /> 0 <br /> 8 rr <br /> U <br /> 9 m <br /> 10 <br /> �y <br /> Relinquished By Date 2o�gg Time /poo Received By A5 # 300 Date 3 4? Time <br /> r Relinquished By Date Time Received By Date �2 5 Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on ice? VY'es ❑ No Method of Shipment Cn i — Page_t—of L <br />