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'EQUOIA ANALYTICAL ❑ 680 Ch . Geake Drive- Redwood City, CA 94063 •(415)364-9600 FAX( , ff-`164-9233 <br /> ❑ 819 W 0 raker Ave. •Sacramento, CA 95834• (916) 921-9600 FAX 9fi d21-0100 <br /> aCHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM -Concord, CA 94520 •(510) 686-9600 FAX (510) 686=9689 <br /> Company Name: i44 ' Project Name: S' <br /> Address: 101-) S'.} , Billing Address{ if different): <br /> L City: -�G rek.—,6 State: ('k Zip Code: q <br /> Telephone: C}�3-36 It <br /> FAX#: S � P.O.#: q S O 2 S <br /> Re rt To: J• Ut v✓tvl— Sam ler: -QC Data: 'Level A(standard) ❑ Level B ❑ Level C ❑ !revel D � <br /> TurrtaroundZ 10 Working Days ❑ 3 Working Days ❑ 2-8 Hours ❑ Drinking Water lAnalyses Requested <br /> c <br /> Time: ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑5 Working Days ❑ 24 Hours ❑ Other 0Ac <br /> Client Date/Time Matrix #of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. TYPe Sample# �� Comments <br /> P,Gs � x .� �1 PmLio <br /> Cr <br /> 2.Sp- l l - q II <br /> t _ <br /> <: <br /> 4 <br /> 6 <br /> 7. XXX <br /> :. <br /> 8. :, -;.. <br /> :.:. <br /> Cr <br /> m <br /> 9• <br /> 10. <br /> Relinquished By: Date: q S Time: Received B ,.�. Date: Time: j( -'0 <br /> Relinquished By: �,� Date: Time: S' Received Byf Date: rime: <br /> i <br /> -Relinquished By:,/ Date: Time: Received By Lab. Date:/ 74 ime: <br /> Were Samples Received in Good Condition?JZI Yes❑No ,Samples on Ice? /Yeg'-U No Method of Shipment (-" (.Affi) _7 Page of <br />