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M oil M M,�' Tveran U"Jar00 FAX (916) 921-0 <br /> 11 T1A I • (�76-M• F�18) 308 M M <br /> 0 <br /> OUOIA ANALYTICAL FI 0404 NtrWiget Lane •Walnut C ekeCA 94598Sacramnto, CA $ (925)g988 960016) 9216FAX (925) 9889673 <br /> 2— Di ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> W CHAIN OF CUSTODY ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> ` Company Name tlac A5 oc1CkJCS Trac - Project Name _NtCSei V4 r LO-r vr-%An CO, -Sit 62-5-77-04001 — <br /> Mailing Address 7 one Pal J - Billing Address (if different) <br /> City A e-S�0 State Zip Code 351 <br /> c <br /> Telephone 10-577- 2-7-Z FAX Z©9-519-,7 PO # T <br /> Report To �p�,v,�,t ��s�4 Sampler f � > S QC Data evel D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> U <br /> Lv- <br /> `� <br /> Analyses Requested c <br /> Turnaround � Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Y q a- <br /> Time ❑ 7 Working Rays ❑2 Working Days ❑Waste Water � <br /> ❑ 5 Working Days ❑24 Hours **her <br /> O <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cant Type Sample # <br /> 1 <br /> I e A �Z� A+( 4 At 0 <br /> 2 vJ 1 1217- <br /> 3 <br /> Z 7- <br /> — -- cn <br /> ` <br /> 4 <br /> 5 F <br /> 6 = `hh YY 11 <br /> o <br /> 7 i <br /> ' l i <br /> t <br /> Q � 1 <br /> U <br /> 9 tic) e V <br /> 10 <br /> Date jz tool Time 1(�� <br /> Relinquished By b-, Date 1Z 100� Time f(ZQ Received By ��z,-r l �a ,4 .r <br /> Relinquished By Date Time Received By /� Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> «r c m�ro� c7arars,orl r, r;nnri r'nnrlittnn� <br /> Page of <br /> ❑Yes ❑ Nn Samples on Ice? ❑Yes �40 Method of Shipment �_— � _� _� <br />