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r r r rr rr oZur rYro v0 ebU ,� <br /> E UOIA ANALYTICAL 145 cow vd, ui e D e aluma, <br /> 94 (707M2-1> F WM42 <br /> Q ' 819 Striker A cite 8 • 5acrarnento, CA 95834 • (916) 921-9600 • FAX (916) 0100 <br /> CHAIN 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 roject , ,N& — 0p <br /> Mailing Address Billing Address (if different) <br /> City State Zip Code <br /> Telephone Fax# pg3 2 PO # <br /> Report To d. Aa E-mail Address QC Data Level 11 (standard) LJ Level III EJ Level IV <br /> Sampler Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround )kr 10-15 Working Das ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please Drovide method <br /> Time (Standard TAT) © 48 Hours SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours RCRA(Hazard g)_ r <br /> /d Other <br /> �O <br /> Client Date/Time Matrix #of Con -q a s Comments/ <br /> Sample I D Sampled Desc ContSam le# 5 Temp(if required) <br /> AW <br /> LAC <br /> 4 ftt#te' <br /> 3 <br /> Elk I X <br /> fj ��► r�s 6 0 D fi i � -Z r re 4 w x <br /> x�r <br /> 6 ! 4 tp�1r 0 02. E I- <br /> t <br /> ell <br /> 1,11 " va aD y K <br /> 7 M <br /> ' <br /> 9 I� w' ���' b n 3 Ik <br /> w <br /> 01 � <br /> AY <br /> 10 Hu"-3-0 O-L- 1000 M $� yd y Y =02 <br /> "��Nn <br /> NLI <br /> Relinquished By Date 1 Time -Q-L <br /> Relinquished By Receive C'D� Date 1 Time (01 3c <br /> Rfelinquished By Received By Date 1 Time <br /> Relinquished By Received By Date 1 Time <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? Yes ❑ No Method of Shipment Page—Lof <br /> White Sequoia Yellow Sequoia Pink Client <br />