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11 1 <br /> l EOUOIA ANALYTICAL 21`680 Ch*ake Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (65 4-9233 <br /> t ❑ 819 Striker Ave , Suite 8• Sacramento, CA 95834 • (916) 921-9600 FAX (916) 1-0100 <br /> 4W CHAIN OF CUSTODY ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name / Tri �`� C iC t 4.° k-s Project Name �� ,�jt�,C Cow <br /> 62514 LQO <br /> Addressf j �o 11u- LG <, , �� Billing Address (if different) <br /> City 4,� �S�t' State ( . Zip Code C, <br /> Telephone !!Y?- ` -G f FAX # f�1' ,� 4- PO # <br /> [ReportTo 1 r Sam ler , . OC Data Ed evei D (Standard) D Level C ❑ Level B ❑ Level A <br /> j�'!a:A f €� 1 t t�r.a � p �1 C_J4 f l t}r Y <br /> Re <br /> Turnaround �1.<tb�Working Days ❑3 Working Days ❑2 -8 Flours LlAnalses Requested <br /> Drinking Water Y q a <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water , <br /> ❑ 5 Working Days ❑24 Hours P15her � <br /> Client Date/Time Matrix # of Cont Sequoia's ��Jy �� Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 121 ti <br /> P4� �`� i f # 6 <br /> N <br /> 2 <br /> [+7 <br /> o <br /> 4 4 t t <br /> t ro <br /> 0 <br /> :T <br /> m <br /> 8 <br /> a� <br /> 9 <br /> r <br /> 10 <br /> I J <br /> .?L 7 y h ' l <br /> Relinquished Byi r � Date �� Time Received B r, ; � a t �• ?� Date 4 Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> rof <br /> Were Samples Received in Good Condition? ❑Yes 0 No Samples on lce,2 Yes C3 No Method of Shipment '! _ , Page <br />