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f— EOUOIA ANALYTICAL ❑ 680 Chesapeanve • Redwood City, CA 94063 - (650) 364-9600 FAX (650) 36403 <br /> FJ <br /> Striker Ave , quite 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0 ., <br /> VO 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 949f54 •,(707) 792-1865 FAX (707) 792-0342 <br /> Company Name A- A T Project Name !! _ <br /> 6f� CS Q <br /> Mailing Address ,k Low T0.1 Ave_ Ej Billing Address (if different) <br /> City -0 State C-0— Zip Code <br /> Telephone- S7� FAX # 2t]Q_579 - Z� ZS-- PO # <br /> Report To` OINIA 1—u � 4,, �A� Sampler 6 ke x + (Q� S QC Data ULevel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround ATIO Working Days ❑3 Working Days,", ❑2 - 8 Hours ❑ Drinking Water Analyses Requested <br /> Time ❑ 7 Working Days ❑2 Working }ah ❑Waste Water <br /> 11 Q <br /> © 5 Working Days 0 24 Hours &Other J ,� /0 <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 <br /> 1'6Hn1 <br /> N�vJ- 2- 709�1� a W 3 t4�; ✓ ✓ Lz <br /> 0 <br /> 2 MW -3 <br /> ��ZJ �� ✓ <br /> a� <br /> 3 f\A w - l(I 0 3 ✓ ,� <br /> 0 <br /> No�c _ atAle } <br /> 4 ti 101 3 ✓ ✓ -OV7�.,,,a no <br /> -7 d�,.( 11a I11,}xj�, <br /> 5 i <br /> 6 <br /> 7 <br /> 0 <br /> D <br /> 8 ami <br /> rn <br /> 9 <br /> s <br /> 10 <br /> Relinquished By ;4 z Date [) T/.Z g9 Time Received ByK1 .-� �'LfF f;, ','j Date ,��' ,� Time <br /> Relinquished B f' �' �, 7/ Date 7-42 �4 Time 15` Received B � -' /r <br /> 4 Y ,/�i,, c r , y w i' Date ;, 17/ 1 Time <br /> Relinquished By _ --- - J --- -Date Time � ffe-66 eid By-tab pate Time <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? CAes ❑ No Method of Shipment ni i r , _ Page of <br />