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- �tso ur nrtoiMiltII,�5030408�960MAX M 78� <br /> QUOTA ANALYTICAL ❑ 1455 MCDoW vd, Suite D • Petaluma, CA 94954 • (707) 792-1865 . FAX (7002-0342 <br /> ❑ 819 Striker or A cite 8 • Sacramento, CA 95834 • (916)921-9600 • FAX (916) 0100 <br /> 1%F W_ OF CUSTODY ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650)232-9600 • FAX (650) 232-9612 <br /> ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (925)988-9600 • FAX (925) 988-9673 <br /> Company Name $ pC Project Wk<. KP2 0'4- I Sf R%9A01V 6 r pjCA"fo Ca <br /> Mailing Address Billing Address (if different) <br /> City State Zip Code <br /> Telephone Fax# P O # <br /> Report To PW/ g, 6 4qE-mail Address QC Data U<Level ll (standard) ❑ Level III ❑ Level IV <br /> Sampler �r Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaroun 10-15 Workin Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please orovide method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ S Working Days ❑ 2-8 Hours ❑ RCRA(Hazardo e <br /> ❑ Other 1✓ <br /> Client Date/Time Matrix #ofa s �t" Commentsl <br /> Con <br /> Sample I D Sampled Dese Cont Sam !e# Temp(If required) <br /> .f <br /> 1 t' e t <br /> 2 Mw_ Z~ c t7 T 09gX_ <br /> 3 K W"S S_ <br /> 4 P'I �-6' z- 6 '7 D�- x <br /> 6 ktV <br /> 7 <br /> 9 <br /> 10PEI I <br /> Relinquished By Date 1 Time <br /> Relinquished By Receive Date I Time G-lo-a v a8 <br /> Relinquished By ver Received B Date 1 Time 6016-d-I- <br /> Relinquished <br /> LRelinquished By Received By Date I Time <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page of <br /> White Sequoia Yellow Sequoia Pink Client <br />