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vv aN iiv uvv�� Y, i <br /> �UOIA ANALYTICAL �8i9 er Av ite�acramrnto, M834" ) 9 OOM (9i - <br /> ❑ 404 N Wi et L •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-967 <br /> Wig <br /> et <br /> CUSTODY <br /> ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954• (707) 792-1865 FAX (707) 792-0342 <br /> CHAIN OF C .J <br /> � i ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name Project Name <br /> Mailing Address Billing Address (if different) <br /> City State Zip Code <br /> Telephone FAX # PC # m <br /> Report To Sampler QC Data ❑ Level It (Standard) ❑ Chromatograms LlLevel III ❑ Level IV U <br /> x <br /> Anal ses � <br /> Turnaround ❑ Standard ❑7 Working Days ❑2 Working Days © Drinking Water Y Requested CL <br /> Time 1015 ❑5 Working Days ❑ 1 Working Day ❑Waste Water <br /> Working Days <br /> ❑3 Working Days ❑ ASAP ❑Other <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample# <br /> 1 <br /> Cr <br /> 2 a) <br /> sn <br /> 3 o <br /> Y <br /> 4 <br /> 5 <br /> 6 <br /> c� <br /> 7 0 <br /> Cr <br /> a� <br /> 8 V7 i <br /> r <br /> 9 <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 Lab Date Time <br /> Were Samples Received in Good Condition? 0 Yes ❑ No Samples on Ice? ❑Yes 0 No Method of Shipment Page_of <br />