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E�UOEA ANALYTICAL U 680 Chesap ' ; Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 3F ;9233 <br /> �' ' • CA 95834 • (916) 921-9600 FAX (916) k,-'. 00 <br /> ❑ 819 Striker Ai;�:, Suite 8 Sacramento, <br /> al"C' HAIN OF CUSTODY >(404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 7992-0342 <br /> Company Name:&ETTLEPL R- RN 10C, Project Name: Td SGe) J lk -1 5- LAR O <br /> ` Billing Address (if different): . <br /> Mailing Address:Gq� S C , �i1.1� r!T <br /> City: V LLF L1 N State: C.F% Zip Coder 1+15 <br /> Telephone: l�5 �J 5� _ l S Jr FAX #: 5 .. P.O. #: 10 1-50 0 S 0 LL <br /> � � i�5 � j <br /> p V pub EE p NP�1� �{C 'Qt-1� c <br /> Report To: Sam ler. �, OC Data: Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> C <br /> Turnaround ❑ 14 Working Days ❑ 3 Working Days ❑2 -8 Flours ❑ Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑ 2 Working Days ❑Waste Water aka C� <br /> 1pe,5 Working Days 0124 Hours Other <br /> Client Date/Time Matrix # of Cont. Sequoia's QRl- y`�r' Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample <br /> i Lice <br /> Wo <br /> �` <br /> 3 F LP61ic U <br /> 3. _{ <br /> 4. <br /> 5. <br /> 6. <br /> 7 <br /> c` <br /> 8. <br /> 9- - <br /> i0. <br /> Relinquished By: Date: ime: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: Time: 18�� <br /> Were Samples Received in Good Condition? h<(es U No Samples on Ice? XYes U No Method of Shipment Page ^of <br />