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J�Unv ori ll, t 0376) M600S X (IM$1-_ l! <br /> UOIA ANALYTICAL Z 1455 McDowe Suite D • Petaluma, CA 94954{ (707) 792-1865 • FAX (707 -0342 <br /> Q , 819 Striker Av rte 8 • Sacramento, CA 95834• 916) 921-9600 • FAX (916) 100 <br /> CHAIN OF CUSTODY ❑ 1551 Industrial Road • San Carlos, CA 94070 + (650) 232-9600 + FAX (650) 232-9612 <br /> wo <br /> ❑ 404 N Wget Lane • Walnut Creek, CA 94598 • (925)988-9600 • FAX (925) 988-9673 <br /> Company Name Project <br /> Mailing Address Billing Address (if different) <br /> City State Zip Code <br /> Telephone Fax# PO # <br /> Report To �,r �� E-mail Address QC Data Level II (standard) ❑ Level Ill ❑ Level IV <br /> Sampler 0.. Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround 4610-15 Working Da ❑ 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 /> ❑ 5 Working Days 0 2-8 Hours ❑ RCRA(Hazardoul W e) <br /> other <br /> Client Date/Time Matrix #of Contgi, o as bs Comments/ <br /> Sample I D Sampled Dese Cont T kSample # j Temp(If required) <br /> 1 MV- 4L610-2 IZrs 5t' { " o? b <br /> CIO <br /> 2 M L0-3- 5"D 6 0 z !zy-z <br /> p yV3� <br /> 3 MW-3--5"5 6 b1dZ !3oD 9, C d4 <br /> 4 MW-3-60 J � y a <br /> 2 r �l <br /> 6 WO-2-/0 6 b az /420 <br /> "q �e! <br /> ..5r 616 011435 M0.1 <br /> u <br /> 10 mw-_4_30 d l 0 14'f0 <br /> Relinquished By Date 1 Time 7-01 13S" <br /> Relinquished By RerpRMME92Date/Time1. <br /> -� g <br /> Relinquished By Received By' Date /Time <br /> Relinquished By Received By Date/Time <br /> Were Samples Received in Good Conditions Yes ❑ No Samples on Ices 96 Yes ❑ No Method of Shipment I Page-1—of-t- <br /> White Sequoia Yellow Sequoia Pink Client <br />