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ANALYTI AL " nChesapea ive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 3643 <br /> 4)41�QUOIA C ❑ 819 Striker Ave*ite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> - <br /> WO 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 Name C C Project Nam �.�my-,e <br /> Mailing Address X117 ze � �t Billing Address (if different) <br /> City State ' Zip Code <br /> Telephone FAX # .zz # m <br /> �w QC Data eves D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Report To � Sampler �( � �-` , <br /> Y <br /> Turnaround Working Days ❑3 Working Days 0 2 -8 Hours ❑ Drinking Water Analyses Requested <br /> d <br /> Time ❑ 7 Working Days ❑2 Working Days �` r ❑Waste Water <br /> 5 Working Days El 24 Hours ��'I IAO �/her <br /> V1 <br /> (J <br /> 1 VV Q <br /> Client Date/Time Matrix # of Cont Sequoia's N41 Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1_41 ca0 <br />! f' o <br /> 6 vh. u-}z�� D� (� b ✓ <br /> 7 <br /> 0 <br /> Cr <br /> 8 r1) <br /> m <br /> 9 <br /> I � <br /> 10 <br /> Relinquished By Date[? ' Time , /j Received By / Date Time 1 <br /> Relinquished By �(,� Date Time l6(— Received By Date -- Time t <br /> Relinquished By Date Time a7� Received By Lab s Date �{IS Time �L <br /> Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice's es ❑ No Method of Shipment ` r— r Page 1 of <br /> A - - r <br />