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EQUOIA ANALYTICAL Z160 Ch*ake Drive• Redwood City, CA 94063 • (650) 364-9600 FAX (65*-9233 <br /> ❑ 819 Striker Ave , Suite 8• Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY U 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name �r� S`,C)c Protect Name <br /> Address tj` 7 �� Billing Address (if different) <br /> CityMtdg�%An-- State (4� Lip Code �5 3S j <br /> --- - —— - - -- - ------ <br /> Telephone 269-.!c J`1-Z� 7 FA r! Zoyr�S7y-Zz S Po <br /> Report To� � Sampler QC Data t_evel D (Standard) U Level C ❑ Level B ❑ Level A U <br /> �aVN%1x kS r� - toi�? Y <br /> Turnaround Working Days U 3 Working gays U 2 - 8 Hours U Drinking Water Analyses Requested 9 f� ���� a <br /> Time U 7 Working Days U z Mi king Days U Waste Water <br /> _1 5 Working Days---U 24 Hours her <br /> Client Date/I[tile Matrix I! of Cont Sequoia's Comments <br /> Sample I D Sampled Debu Cont Type sample <br /> Qac,( � ivt 1-►3 E <br /> k <br /> 4 M W- LtV. IL I _ _✓ -Y- _ - - ---- - --- } <br /> _5 MW-,_C) _ y s S -- — -/- - ✓ - - - - -- --- - - - - --- <br /> 6 MW-� 1`t3 14 -_° v - - - - - --- - - -- <br /> CT <br /> n --- -- — - - - -- - -— - - - -- --_- - - --- - -- - - -- -- - - <br /> a) <br /> fleltnrtuishact Fly -- j - `✓ t-�L Date/2— - Time - -- Received By e �,`.,r .�rh 1�uJ Date 121L � Time 6-FJ <br /> L� <br /> F1e4rnquished By YJ c�• �I - Date l ytt rime l 1Y <br /> r -Received-By— - ---- ---_ - - Date / <br /> ''�utisl3ed By Cale Cinte Received By Lab "l` �-"��`�Y Date Time <br /> °�--,JOd m Gooct Gundiwm� u Y�-S U No Samples on Ice? Yes U No- Method of Shipment-uau ae-�L Page f 01 <br /> ar4,. <br />