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0680 Chesapea�ve- Redwood City, CA 94063- (650) 364-9600 FAX (650) 364-83 <br /> SUOIA ANALYTICAL El 819 Striker Ave , Suite 8- Sacramento, CA 95834- (916) 921-9600 FAX 916 921-0100 <br /> iz_ CHAIN OF CUSTODY ❑404 N Wiget Lane-Walnut Creek, CA 94598-(925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D- Petaluma, CA 94954- (707) 792-1865 FAX (707) 792-0342 <br /> Company NameA'>'kl- � Protect Name AT' 4--T o 0t;q <br /> Mailing Address Billing Address (if different) <br /> City A pV1Pc1c%-VP- State Zip Code V 70 3 <br /> Telephone 5 _ 7 3- rCO 1 FAX# 530-878- 167-Z- PO # <br /> m <br /> Report Tol <br /> S <br /> �[ am er ! - U <br /> p CCK "r S QC Data 4evel D (Standard) ❑ Level C ❑ Level B ❑ Level A , <br /> Turnaround ❑ 10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> a <br /> Time ❑ 7 Working Days ❑2 Working Days ©Waste Water <br /> ❑ 5 Working Days K4 Hours Ather 1 <br /> Client Date/Time Matrix #of Cont Sequoia's C <br /> Sample I D Sampled Desc Cont Type Sample # 4� Comments <br /> 2-f sf(o 5 <br /> D U3 9 /163Cso, 12' ,f <br /> y log 0 <br /> Qi <br /> 3 MT- NA-135 � V ✓ <br /> 3 <br /> 0 <br /> 6 *U- V\e1196i35 1101SQ,k ()r;Q4 <br /> 7 <br /> 0 <br /> 8 <br /> 9 <br /> t <br /> 10 3 <br /> Relinquished By Date 6,2&191 Time Received Date 3 � Time 7 <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑No Samples on Ice? ❑Yes ©No Method of Shipment.. �Cug it IL Page of 3 <br />