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QUOIA ANALYTICAL 680 Ches ke Drive • Redwood City, CA 94063 • (415) 364 9600 FAX (415 -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 r Protect Name 6?U i IL -2, <br /> Address 5 aLItia tj �Pt-P-ASW ;L-f jv ql& 4- Billing Address ( if different) �(p <br /> City - 1 ,- State CJk Zip Code <br /> Tele honeLP 4- ~- '1 7 2.3 ` FAX# 4 2 ick ��.di5 P 0 # m <br /> Re rt To ct.%'2- Sam ler fc� � �LAQC Data Level A la~dl ❑ Level B ❑ Level C ❑ Level D <br /> Turnaround 10 Working Days 1:13 Working Days ❑ 2 -8 Hours ❑ Drinking Water JAnalyses Re uested a <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water o <br /> ❑ 5 Working Days ❑ 24 Hours �� } y C1Other <br /> Client Date/Time Matrix #of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> CT <br /> 3 <br /> 3 ° <br /> m <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 0 <br /> a <br /> Cr <br /> 8 (1) <br /> U) <br /> 9 <br /> 10 <br /> Relinquished By Date I-P imft 1S' 3' Received B r ' ,rt t� tiv 'l��+ pate 7 ( Time 5 <br /> Relinquished By �l¢�W et L t INx Dates-10 i � Time �� 1 � Received By � � � ,t 1 � Dated l'- Time 11 t' j <br /> Relinquished B �t� Date �� Time 1-9,6 Received B Lab r ' �' , L' Date S�U f ime Z 1 Z "fir <br /> Wnrf- gmmnip- Rornworl in (;nnd ( nnriifinn?U Y(,q 11 No Samples on Ice? )(Yes IJ No Method of Shipment ___ __ Page_) of <br />