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` " "EQUOIA ANALYTICAL e-60 Ches -rake Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650 '�4-9233 <br /> C3819 Strike , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916)0100 <br /> r.HAIN OF CUSTODY ❑404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 c <br /> Company Name 47-C hC Project Name Koh pE;p Ur <br /> Address /2G(D r7,, hI,GS Billing Address (if different) <br /> City /1/f odP.s�o State Zip Code 9535 <br /> Telephone 20q-579- z221 FAX # ZDV'-57?-?-zZ.S PO # <br /> Report To Tom L4_j 4-4jrvtiah Sampler ?E"10„e s QC Data Al-eve! D (Standard) ❑ Level C ElLevel B ElLevel A U <br /> 11 Y <br /> Turnaround 0 Working Days 0 3 Working Days CJ2-8 Hours 0 Drinking Water Analyses Requested �6 eO I <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> O 5 Working Days ❑24 Hours I1,0ther �Q lei <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # ,�� <br /> t!a M� 1115` <br /> 1 MW- 1 b61 q /C W 5 I-t, y s ✓ '� T a <br /> 2 w)- 3 1 c�SU s �- ✓ ✓ ✓ r+D L+� r <br /> U) <br /> 3 Mw- 5 'S ✓ ✓ ✓ ' <br /> l03 � <br /> 0 <br /> 4 } <br /> 5 <br /> 6 <br /> i <br /> 7 <br /> 0 <br /> D <br /> 8 � <br /> a� <br /> 9 <br /> 10 <br /> Relinquished By Dateo&/M Time /4 up Received By 'Date Cj-QS Time 'Z' yS- <br /> Relinquished By Dat Time Received By i-me <br /> Relinquished By Date Time Received By Lab .L Date � Time <br /> Were Samples Received in Good Condition? Q Yes 0 No Samples on Ice? U16-s- ❑ No Method of Shipment Page 1 of <br />