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[ [ l 1 l [ [ 1 t t [ t [ [ [ [ t [ t <br /> QUOIA ANALYTICAL 680 Chesapeake( - Redwood City, CA 94063 - (650) 364-9600 FAX (650) 364-9�" <br /> ❑ 819 Striker Ave.,Chesapeake( <br /> 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-01(1.0, <br /> NO CHAIN OF CUSTODY ❑ 404 N.Wiget Lane -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: AT4 �}ssa� �.� s �•�� . Project Name: S�0,1z-j0, T--,, - <br /> Mailing Address: t t�-� L j, Bi ►eco �Z S 1`I,voo S <br /> City: �t5 o State: L Zip Code: 9 S3� <br /> Telephone: Zcxt 57-I , �zFAX #: Zd-t S-,4ZZZS P.O. #: <br /> Report To: ���,,K� �,..5� Sampler:-T,—,.,., L j.[.}. QC Data: ,Level D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround �1(10 Working Days ❑3 Working Days ❑2 -8 Hours ❑ Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days O Waste Water d <br /> ❑ 5 Working Days ❑24 Hours �� I�� Other(S �) 0 <br /> Client Date/Time Matrix # of Cont. Sequoia's �; b Comments <br /> Sample I,D. Sampled Desc. Cont. Type Sample # o <br /> 1. z-3�s 4V4 S' so, i T.A4r <br /> 2. FS- Mw2-SaS tv L3 �(. 0) <br /> Cr <br /> co <br /> 3. FS-Mw-3S-6 13' 4-1 0 <br /> 4. F5— w3 -Sas <br /> 5. <br /> 6. <br /> 7, T <br /> 0 <br /> Z <br /> a- <br /> 8. m <br /> 07 <br /> 9. <br /> L <br /> 10. <br /> Relinquished By: ', Date:t�j Time: i o Received By: y t{3 C, Date:,3-17- Time:/S-`C,, <br /> Relinquished By: L Date j �7- `�19 Time: /$� Received By: Date: Time: <br /> Relinquished By: 7 Date: �� Time: ;( (}� Received By Lab � O'JAJAA4 0(Date:��7 Time: � 7U <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? 0-Yes ❑ NoM Pod of Shipment����_�Q_ Page-i---of <br /> r. AN Ir , ��,��, <br />