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/ EOUOIA ANALYTICAL �80 Chesap Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 3 33 <br /> �' s, <br /> U 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921- 0 f: <br /> CHAIN OF CUSTODY U 404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 - r <br /> U 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342. <br /> Company Name: NX A., . Project Name: L1141) &eV -s <br /> Mailing Address: I t 17 f-0 f1t, 'tom Billing Address (if different): <br /> City: I� tinfkE,-,Vo State: c'ck- Zip Code: <br /> Telephone: q ---71- 777- FAX #: '7F P.O. #: <br /> Report To: Sampler: OC Data: �Aevel D (Standard) U Level C U Level B U Level A <br /> Y <br /> Turnaround &K0-Working Days U 3 Working Days U 2 -8 Hours U Drinking Water Analyses Requested c <br /> a <br /> Time: U 7 Working Days U 2 Working Days U Waste Water <br /> U 5 Working Days :124 Hours UIC5 her <br /> Client Date/Time Matrix # of Cont. Sequoia's Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> i yC 111 \J1J v.- <br /> 0 <br /> cn <br /> 3. 1V11,�, - M`3 ✓ f� o <br /> 4. <br /> 5. <br /> 6. <br /> 7. c� <br /> 0 <br /> Z3 <br /> 8. ami <br /> m <br /> 9. <br /> 10. 3' <br /> Relinquished By: /J'_*,t4Lfu,, Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: bate: Time: <br /> Were Samples Received in Good Condition? U Yes U No Samples on Ice? ,a/Yes U No Method of Shipment _)t�`-}� Page_,�of <br />