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l♦ (♦ ❑M JaiMnverga�, C� 37 4W) 77 0 •= (40 2-6� <br /> WUOIA ANALYTICAL ❑ 1455 McDowelljSuite D • Petaluma, CA 94954+ (707} 792-1865 • FAX (707) *_( <br /> 342 <br /> 819 Striker Ave , 8 • Sacramento, CA 95834 + (916) 921-9600 • FAX (916) 920 <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 Lir C Project <br /> Mailing Address 6Z3 a'ffieb`'a W Billing Address hf different) <br /> City L.16 Slate Cb- Zip Code <br /> Telephone -36f-o W 7- Fax# PO # <br /> Report To +fir E-mail Address QC Data 564evel It (standard) 0 Level Ill 0 Level IV <br /> Sampler Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround 0 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSE=S REQUESTED Please orovide method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days 0 24 Hours X CWA(Waste Water) <br /> El5 Working Days El2-8 Hours ElRCRA(Hazardo a ) j <br /> Elotherw <br /> Client Date 1 Time Matrix #of Con �� a s Comments) <br /> Sample I D Sam led Desc Cont Sam le# Temp(If re wired <br /> 1LU'� /Za Al l <br /> 2 <br /> w <br /> w <br /> 3 w-z �a P4� <br /> ? < it <br /> fj - ���� 3 <br /> 6 x w <br /> Y <br /> / yz <br /> 7 W <br /> h <br /> 8 <br /> s ` , <br /> 10 " Wr V r <br /> tg3 <br /> Relinquished By e' _ Date l Time G-Iqi-° Ito <br /> Relinquished By Receive Date 1 Timed qtG <br /> Relinquished By Received By 0 Date 1 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,_Z_of_Z-_ <br /> White Sequoia Yellow Sequoia Pink Client <br />