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6ZUOIA ANALYTICAL 0 680 ChesapeakOite <br /> ve • Redwood City, CA 94063• (650) 364-9600 FAX (650) 364- <br /> ❑ 819 Striker Ave 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01 <br /> . 7t;W 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 �'i-` r Protect Namebwc� -P,( rMrtitimCe �y , <br /> Mailing Address 111? Lore, a1 w,�- Billing Address (if different) <br /> City AO&'t, State Zip Code 911Z � <br /> Telephone meq.. 5-Tq_ 22 FAX # 20+c _u2 - PO # <br /> Report To Sampler QC Data Qf Level D (Standard) 0 Level C ❑ Level B ❑ Level A v <br /> Turnaround 10 Working Days ❑3 Working Days 0 2 - 8 Hours ❑Drinking Water Analyses Requested <br /> s � <br /> Time © 7 Working Days ❑2 Working Days ❑Waste Water <br /> O 5 Working Days ❑24 Hours �ther6 Q�r - 'L <br /> w <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Sample I D Sampied Desc Cant Type Sample # Comments <br /> 1 ��" � (n'[t�94a✓�#2 W f !-�dt SIaS ✓ l� ✓ cu <br /> o <br /> 2 Cr <br /> ai <br /> 07 <br /> 3 <br /> _a <br /> 4 } <br /> { <br /> 5 <br /> -6 <br /> 7 M <br /> 0 <br /> 8 Cr <br /> 07 <br /> 9 ' <br /> 10 <br /> Relinquished By xle C Date Time Received By Date �" TimeLZ <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'Conditron? ❑Yes ❑No Samples on Ice? /Yes 0 No Method of Shipmentt/� Page!of <br />