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U 680 Chesa a*rive • RedwOad Cit CA 94063 • 650) 364-9600 FAX 650 3643 <br /> 4D9 EQUOIA ANALYTICAL iJ 819 Striker Ave,quite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY '-t 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988 9600 FAX (925) 988-9673 <br /> fJ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name /� f� — - Protect Nameb1� ?��j�1Qlr> <br /> I STC l rSJL LLC S- V1 --- `' <br /> Mailin Address h n Billing Address (sf difterent) <br /> City ��a CICS State Co_ Zip Code q 1 <br /> Telephone S 7r '2G�1 FAX ft ZU� S 79 -ZZZ y' PC It �� �) U a� 7 --- -- — LD <br /> c <br /> Report To-_�-__-- - - - T -- Sampler---_-__ -- —_ QC Data 1ZLevel D (Standard) U Level C 'J Level B U Level A <br /> x <br /> Turnaround tK10 Working Days J 3 Working Days J 2 a Hours 'J Drinking Water Analyses Requested <br /> Time J 7 Working Days U 2 Working Days J Waste Water <br /> J 5 Working Days U 24 Hours 'a 61herC <br /> le`� <br /> Client Date/Time Matrix t1 of Cont Sequoias (�, Comments <br /> Sample I D Sampled ,De+sc Cont Type Sample If L <br /> r7 T <br /> ff <br /> 2 -- --- - -- --- <br /> 3 --- - - -- - -- - -- ----- ---- <br /> 4 --- - — -- - - -- - - -- - _- <br /> T <br /> 7 --- - — - ° <br /> m <br /> 8 -- --_-- -- - -- - -- - - -- - u) <br /> m <br /> 9 - - ----- -- - -- <br /> 10 <br /> Relinquished fay , -- *�--- Date ()-/0g9q Time --1 zy0 Received B �� Dale 7 Time <br /> 77 y 71 Date �r' Time Received By Date sme_ <br /> Relinquished B 1 Z ��� <br /> Relinquished By Date Time Received By Lata s ale ime <br /> 5 <br /> re Samples Received in Good Condilion? J Yes J No Sample- on Ice? J Yes J No Method of Shipment Cel 106 r Page of _ <br /> 1 <br />