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r— - <br /> IA 885 Jarvis DrivT5, <br /> organ Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> tQUO AN ALYTICAL ❑ 819 Striker Ave , te 8 • Sacramento, CA 95834 • (916) 921-9600 • FAX (916) 9211. 0 <br /> ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 <br /> �I CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 • FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 • FAX (650) 232-9612 <br /> Company Name Project <br /> Mailing Address Billing Address (d different) <br /> City State Zip Code <br /> c <br /> Telephone Fax# PO # Payment Received LlYes ❑ No °' <br /> c3 <br /> Report To E-Mail OC Data ❑ Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround ❑ 10- 15 Working Days ❑ 3 Working Days ❑2 -8 Hours Mandatory Sampler a <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑ Drinking Water ea <br /> ❑ 5 Working Days ❑ 1 Working Day ❑ Waste Water J�y� <br /> ❑ Other Q� <br /> 5 <br /> Client Date/Time Matrix # of Cont Sequoia's �r9 Comments <br /> Sample I D Sampled Desc Cont Type Sample# P� <br /> 1 <br /> 2 <br /> 0 <br /> 3 ami <br /> 4 3 <br /> 0 <br /> 5 } <br /> 6 <br /> m <br /> 7 0 <br /> Cr <br /> 8 (D <br /> 9 <br /> s <br /> 10 <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> I <br /> Were Samples Received in Good Condition? Cl Yes ❑ No Samples on Ices ❑ Yes ❑ No Method of Shipment Page of <br />