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UOIA ANALYTICAL <br /> ❑ 880 Ches }ce Drive • Redwood City, CA 94063• (415) 364-9600 FAX(4154-9233 <br /> ❑ 819 West Striker Ave. •Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM •Concord, CA 94520-(510) 686-9600 FAX(510) 686-9689 <br /> Company Name: Project Name: 6 L C <br /> Address:34�? L, Billing Address ( if different): <br /> City: t.. L State: C/I Zip Code:'Cm Q <br /> Telephone: C� / FAX#: 46d P.Q. <br /> U <br /> Re rt To: j�SfQ Le W[ <br /> 1Sam __,n ler: � U QC Data: ❑ Level A(standard) ❑ Level B ❑ Level C Leve! D <br /> Tumamund 10 Working Days ❑ 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water lAnalyses Requested a <br /> Time: ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other <br /> Client Date/Time Matrix #of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample# Comments <br /> ><X K <br /> sr <br /> 2. <br /> 3 <br /> 3. y <br /> I >- <br /> 4• <br /> I <br /> 5. <br /> 6. <br /> I 7. <br /> O <br /> Cr <br /> 9. <br /> r <br /> 3 <br /> 10. <br /> Relinquished Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquish ed_BL. Date: Time: Received B Lab: D <br /> e use ate: tme: ^ +� <br /> Were Samples Received in Good Condition?0 Yes 0 No Samples on Ice? 0 Yes 0 No Method of Shipment Page f rn <br /> Ji <br />