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FAX (650) <br /> �EQUOIA ANALYTICAL p8g Striker AvL!5wte 8 Sacramento, CA 95834•(916) 921-9600364-9600 <br /> FAX (916) 921- ,3 _ <br /> CHAIN 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) 792-0342 <br /> i <br /> }Name y, s a►�f � Protect Name -7 <br /> Mailing Address r 1 Dr, /Ud iL a:oSSO <br /> City �(/��, u State c,� Zip Code 9� <br /> Telephone 3 - c)1a5- FAX *(qIS-) 3,FZ , rss-z-, PO # T 5 wMr, -v, �S-�,- <br /> a� <br /> Report Tokp- � � Sampler C. <br /> a 17 mpler Data Level D (Standard) LJ Level C El Level B ❑ Level A v <br /> Turnaround V10 Working Days 0 3 Working Days ❑2-8 Hours 0 Drinking Water Analyses Requested <br /> 11me 0 7 Working Days ❑2 Working Days ElWaste Water ,� 40 (L <br /> ❑ 8 Working Days ❑24 Hours )4_0ther <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # '� <br /> 1 A int -NiwZ S / dD 141 r ala/ X <br /> 0 <br /> nn^^ JJ� � <br /> 2 �1„W IO /l. 9q 04L <br /> 3 Tri — W 17. 6 O <br /> 4 <br /> 5 <br /> i <br /> 6 <br /> 7 0 <br /> 8 ; OSE 1 l T!)YSEALSINTACTO NOTI TAGTO <br /> 9 m <br /> 10 <br /> Relinquished By re, Dates 3 r� Time Received By - ��_ Date �/ - Time /S3o <br /> Relinquished By �/ _ �l!L� Date -/�.j�j Time Received By ti� h�—��-. pate �Q Time �S✓ <br /> Relinquished By Date Time Received By-f-ab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? LI Yes ❑ No Method of Shipment Page—of <br />