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*QUOIA ANALYTICAL ❑ 80 ChesSe Drive• Redwood City, CA 94063•(415) 364-9600 FAX(4150-9233 <br /> r <br /> L'� 819 Sinker Ave Suite 6•Sacramento CA 95834. 916 921-9600 FAX 916 921-0100 <br /> CHAIN OF CUSTODY ❑ 404 N Wiget Lane •Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name Project Name vE.t <br /> Address Billing Address(if different) <br /> City ;*,0) ,P1�✓,¢- State dip Code � d 1.39b �Fi�D yi�c '� Su�rr 420 GasE✓r«.c e,¢- <br /> TelephoneC216) 431- 43M FAX# !gj 63/-y,71V PO # m <br /> Report To hd ISampler dd.} DzL F2 QC Data U Level D sunurd ❑ Level C ❑ Level B ❑ Level A V <br /> Turnaround Erl0 Working Days U 3 Workm ays ❑ 2 - 8 Hours ❑ Drinking Water JAnalyses Re nested a <br /> Time: ❑7 Working Days ❑ 2 Working Days ❑ Waste Water ° <br /> ❑5 Working Days ❑ 24 Hours ❑ Other <br /> Client Date/Time Matrix #of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample# �`� �ti� Comments <br /> cc <br /> Yo <br /> x <br /> l l� Cr <br /> 2 <br /> 3 S/ ' C 2 <br /> CD <br /> 4 SY1 } <br /> t <br /> 5 <br /> g <br /> o <br /> 6 1/) �Pelhll <br /> 813 //0 4'6 <br /> t <br /> 3 <br /> 10 <br /> Relinquished By Date Time /S,36 Received C Date y ,f' rime xr-,3G. <br /> Relinquished By - G , p Date Time/6(/) Received By// Date rime <br /> Relinquished By I Date ITime Received B L " 7 C Date 's ime <br /> Were Samples Received to Good Condition?P/yes❑ No Samples on lce? Yes O No Method of Shipment <br />