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} <br /> P"680 Chess:';���,ke Drive • Redwood Cit CA 94063. 650 364-9600 FAX 650 �`r9233 <br /> j il'QUOIA ANALYTICAL y, c ) ( }' _:' <br /> .0 ❑ 819 Striker�a�e., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 9 10 <br /> WV. CHAIN OF CUSTODY ❑ 404 N.Wiget Lane • Walnut Creek, CA 94598• (510) 988-9600 FAX (510) 988-9673 <br /> Company Name:/9-rC � �S Project Name: ou <br /> 17841-0001 <br /> Address: 2� Y4 S Y Billing Address (if different): <br /> City: fy/oct (5 /.0 Stater Zip Code:535/ <br /> Telephone: Zpq- Z Z Zt FAX #: 909-57 9- -Z 2_1Z5 P.O. #: <br /> Report To:J ��Q v Sampler: 4 LC.,,< 71-(j rC5 QC Data: �aevel D (Standard) ❑ Level C ❑ Level B ❑ Level Alie <br /> v <br /> Turnaround 10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> CL <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours M--0ther �a (b <br /> Client Date/Time Matrix # of Cant. Sequoia's ��le Comments <br /> Samplel.D. �1atSam/h.pledCGq tDweltsc. Cont. ,en Type Sample # � <br /> i. V�IF y <br /> �L.v V� � lO Vi 3 �`�n$j "� y �iv LCjS f3 <br /> 2. VJ' =- ��ZS4�25 $ ✓ ✓ <br /> .5 ppb �b r Cr <br /> rA <br /> ply <br /> 3. <br /> p <br /> � F m F t � ' �� ^3-A �d a' t�c O Y✓p � S <br /> 4. �. � W'%"i C)A ma c 5 <br /> 5. <br /> q ,ice z+ <br /> v c. <br /> v <br /> 6. <br /> UrV <br /> 7. SGS <br /> O <br /> 8. cin <br /> 9. <br /> � I <br /> 10. <br /> Relinquished By: ,+ —s1--i Date-&pZ Time:/'V1t5 Received By: <br /> _ , ,.-, ,�,r,r�/�,� Date: G Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: Time: <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? es ❑ No Method of Shipments CU �1, Page 1 of <br />