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tE6ZUOlA ANALYTICAL IJ 680 Chesape; ,',.Drive - Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9233 <br /> C3 819 819 Striker A 'Suite 8 - Sacramento, CA 95834- (916) 921-9600 FAX (916) 92ES;�<;� 0 <br /> CHAIN OF CUSTODY 04 N.Wiget Lane -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> C3 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: L� OCly t C , Project Name: <br /> Mailing Address: S V Billing Address (if different): a Q }gyp A� <br /> City: ID Ly � State: C s l Zip Code: 6 T05Ca F"�l �C l K L�R- i Y fTv <br /> K Y L _ 1y +q4p Pc i <br /> Telephone: d�� J �`� S JAX #: 1j Jr� l Ol�u P.O. #: �_ ` - ` m <br /> '- U <br /> Report To: ` ��Q� Sampler: I Tt �Q R, QC Data: Level D (Standard) IDLevel C ❑ Level B C3 Level A <br /> Turnaround ❑ 10 Working Days ❑3 Working Days C12- 8 Hours U Drinking Water Analyses Requested a <br /> Time: ❑ 7 Working Days U 2 Working Days U Waste Water �Q <br /> ❑ 5 Working Days 4 Hoursther l� L <br /> Client Date/Time Matrix # of Cont. Sequoia's O Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> FmC, <br /> 1. ST - �). t !�, 51 q 50 1L TLt o'104;�:e� -C. <br /> - i✓ <br /> U <br /> 2. <br /> C <br /> 3. } <br /> 4. <br /> 5. <br /> 6. <br /> a <br /> C <br /> 7. c <br /> a <br /> U <br /> 8. a <br /> 9. <br /> 10. <br /> Relinquished By: F- <br /> ate: �� Time:10-)C> Received By: Date: Time: v ZC <br /> Relinquished By: ate:- Time: Z Received By: a e: <br /> Relinquished By: a e: <br /> Received By Lab: Date�'s �gg Time: <br /> Were Samples Received in Good Condition? '>&es U No Samples on Ice?'�es U No Method of Shipment Page—of <br />