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j0SFQU(5"1A ANAL <br /> 71"ICKL7 trU80 �ape��rive�"dwot�ty, <br /> ❑819 Striker Ave., Suite 8 - Sacramento, CA 95834- (916) 921-9600 FAX (916) 921-0100 , <br /> %W CHAIN OF CUSTODY ❑ 404 N.Wiget lane •Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 F <br /> 0 1455 McDowell Blvd. North, Suite D - Petaluma, CA 94954 -(707)-792-1865 FAX (707) 792-0342 <br /> Company Name: Project Name: <br /> �.k.�„. t'2o ql Ics�62 7y•mo(� <br /> Mailing Address: S g Billing Address (if different): <br /> City: V,Aoalrs Vo State: zip Cade: sjS t <br /> Telephone: 7r6q. S?5. LZ2.1 FAX #: Zn-S-7%�, 2,S P.O. #: <br /> Report To: 4, Sampler: � J QC Data: evel D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> J�a. ...we. }�QvwSC p R �.w� L.i ���Q'W�CIV► � l ) x <br /> Turnaround *10 Working Days U 3 Working Days C?2 -8 Hours U Drinking Water Analyses Requested a <br /> Time: 4,J--t 7 Working Days U 2 Working Days 0 Waste Water <br /> X 5 Worki g Da s U 24 Hours U Other <br /> nr. <br /> Client Date/Time-.. Matrix # of Cont. Sequoia's Comments <br /> Sample 1.D. Sampled Desc. Cont. Type Sanple # �- <br /> 1 fZo—Sal-35.S.. o%-so ,1 1 508y� X n S . T•4T <br /> 4- s r.�laca�cl 0' <br /> 2. �o-SB1- s-sr :s� s��} l 050855 Vim" ` p` M <br /> 3. rzo-s81- sos' •.03 54, 050856 X o , <br /> } <br /> 4.20•-S$z- 3 S Sz- so s;, I 905085 7 <br /> 11 <br /> X )( <br /> S.tZo-sSz-�IOS�— V 050858 <br /> 6.ttd-Ss3-35 S ��•-yo � 050859 <br /> 7.r4os43-tifa•S V050860 X X <br /> 8. U) <br /> OS7 <br /> 9.fz�-St3 - '11V a �t� Lo �lw-.� 050861 x t <br /> 10. <br /> Relinquished By: te;S=�IJ'�� Time:/d•QC Received B :,_ Date:-/0 9/p Time/d--OC <br /> Relinquished By: f-v� Date: JJ� / Time: ),-'JF Received By: olDate: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: 'k 0 Time: <br /> y�lyl1�11�t'f' �eUv <br /> Were Samples Received in Goon Condition? U Yes U No Samples on Ice? U Yes U No Meth d of Shipment Page 1 of <br />