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�a, urr vwr�,rn,��Vsuut�bux �fii1� r <br /> QUOTA ANALYTICAL 1455 cow d, Suite D • Petaluma, CA 94954 • {707) 792-1865 + FAX (702-0342 <br /> Ia' 819 Striker Av uite 8 + Sacramento, CA 95834 • (916) 921-9600 • FAX (916) 0100 <br /> 'Wr 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 Protect W.. S <br /> Mailing Address Billing Address (if different) <br /> City State Zip Code <br /> Telephone Fax# PO # <br /> Report To g E-mail Address QC Data Level 11 (standard) ❑ Level Ill ❑ Level IV <br /> Sampler Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround 10-15 Working Days ❑ 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(Hazardo to <br /> f� Other � �s <br /> Client Date 1 Time Matrix #of Cont E R k a's - r ,� Comments/ <br /> Sample I D Sampled Desc Cont T� t Sample# Temp(if required) <br /> 5166D 5 <br /> ao ��d <br /> Sv­ <br /> 11,41 Yy <br /> 2 ji -2_- Ljb Ox. 14 S r �Y <br /> 3 Ztl—Z 5,0 !o i�oz 15'0 ti t <br /> 4Mw-z- C'S 416102-11520 v Xx, <br /> 5 e"1 LO')_— 60 b` oz�i�'zsy4 �/ <br /> .L '" ,y <br /> , <br /> 6 <br /> 7 <br /> 8 7 � �t <br /> 9 1t�� / r p�'eVr <br /> i A <br /> 10 <br /> NriR y , <br /> Relinquished B 'R Date l Time 7-0Z 3 <br /> Relingwshed By �� `a Receive Date 1 Time (.0 3v <br /> Nelinquished By Received By Date/Time <br /> Relinquished By Received By Date /Time <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? Yes ❑ No Method of Shipment Page-4—of-4- <br /> White Sequoia ! Yellow Sequoia Pink Client <br />