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71GLUOIA ANALYTICAL 680 Ches ke Drive • Redwood City, CA 94063 • (415) 364-9600 FA7(4V64-9233 <br /> ❑ 819 West Striker Ave • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> Wo CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (510) 686-9689 <br /> Company Name S �V S Project Name u k� S p i 1�-O 1✓ <br /> Address 3 tS Q A --[ k , ,� S� Billing Address ( d different) 250 t-6K A L STS ef <br /> City Sc.,wS Stale Zip Code Dec,% Fr U\"k0 <br /> Tele hone �A) 2-0--Z'7 7-3 FAX# 4-di 1&4-Z 5 P 4 # a <br /> v <br /> ,Report To R,OK EAP R "Samler SEG e L-6 D DC Data J4 Level A(standard) ❑ Level B ❑ Level C ❑ Level D <br /> Turnaround10 Working Days Ell3 Working Days ❑ 2 -8 Hours ❑ Drinking Water [Analyses Requested d <br /> Time. ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other L�ryv L�Oi p� <br /> Client Date/Time Matrix #of Cont Sequoia's �r ��b D�� <br /> Sample i D Sampled Dese Cont Type Sample# Comments <br /> D <br /> 2 � !� �2�►-, �q3 � <br /> W <br /> 3 �� _� <br /> T1 0 <br /> w <br /> 4 l�k� - `� 4loq <br /> 5 <br /> 6 <br /> 7 <br /> rr <br /> 8 <br /> 9 <br /> 10 <br /> Relinquished By Date tok Time 0 V,4, Received By 6ua.. Date ►2/?�Ig3 +me /0 �36 <br /> Relinquished By r Date/L/21/f,? Time 9��� Received By Date lZrzl143 +me `/Q <br /> G Date ime= Received B Lb Relinquish B � Date Z 11 Y tme 0 2 6 <br /> ?4 <br /> Were Samples Received in Good Conddion?O Yes U No Samples on Ice? Yes❑ No Methjg of Shipment Page —of-.--- <br /> Inl <br />