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680 Chesaf..-Drive • Redwood City, CA 94063 • {415) 364-9600 FAX (415) 9233, <br /> St UOIA ANALYTICAL 819 West Striker Ave. • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> S� CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (510) 686-9689, <br /> Company Name: 71 w� Project Name: s10LWTED ',,,,n .rte Z-S2u– lU, 4 <br /> Address: /t/ 33 A/, a de,V- Billing Address ( if different): <br /> City: Sig 6./�o nrT state: C4 zip code: 9i83 <br /> Tete hone /! Z8 '3�l/U FAX#: �i'/� 9l�r P.O.#: S l 1 m <br /> U <br /> 113g2rt To: nM ?I TT 14 —[sampler: OC Data: Level A(standard) ❑ Levet B ❑ Level C ❑ Level D <br /> x <br /> c <br /> Turnaround ❑ 10 Working Days 3 rkin Days ❑ 2 -8 Hours ❑ Drinking Wa#er lAnatyses Requested a <br /> Time: ❑ 7 Working Days cin Days 14t H/2• ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours �� Other <br /> Client Dale/Time Matrix #of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample # Comments <br /> To <br /> tr�r v�Wti I T 0 <br /> Q <br /> rr.. N <br /> 2. r.w.Al ►It'19r/ VUr ,� y <br /> 3 <br /> 0 <br /> 3. m <br /> 4. <br /> 5. <br /> 6. <br /> L <br /> 7. 0 <br /> or <br /> m <br /> 8. <br /> m <br /> 9. <br /> Relinquished By: ,P Date: 14r Tlme:/40T0* Received By: Date: me: <br /> Relinquished By: Date: Time: Received By: Date: 'rime: <br /> Relinquished B Date: Time: Received B Lab: +' ' Date: ime: It <br /> I MInrn Cmnlac Rorpi+.Art in no Condition?0 Yes ❑ No Samples on Ice? ❑ Yes P(No Method of Shipment. /,�� . .____,. Page j..of 1 . <br />