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OUOIA ANALYTICAL El680 Ch6sa&e Drive- Redwood City, CA 94063•(650)364 60-0 >ljA�.g.sS.r c(650) ' <br /> IS <br /> 4D fAK <br /> 19 StrikerW, Suite 8- Sacramento, CA 95834• (916)� FAX (9161) 100 R <br /> CHAIN OF CUSTODY ❑404 N Wiget Lane- Walnut Creek, CA 94598•(510)988-9600°1FAX(510)9mi:93�i "Y <br /> Company Name Protect Name4avanyNO <br /> Address 12(� Billing Address (if different) g <br /> S - <br /> City State Zip Codeg5351 - <br /> Telephone 26q_579- Z?-Zi FAX # Zpq _574-ZZZ5 PO # a <br /> Retort TOTo A k^tr,.ai ti Sampler OC Data O'Cevel D (Standard) 0 Level C 0 Level B ❑Level A U <br /> Y <br /> lUrnaround p000 Working Days ❑3 Working Days ❑2-8 Hours 0 Drinking Water Analyses Requested <br /> CL- <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hoursher <br /> Client Date/Time Matrix # of Cont Sequoia's '�\ O ` <br /> Sample t D Sampled Desc Cont Type Sample # � � Comments ° � _ <br /> i VJ- Deta IV` I a e. .o . <br /> w <br /> S{wh holdf�9 <br /> `2 12-Lib <br /> h W,*-d(Ott$+IV � <br /> 4 MW'y �"� D ✓ <br /> 5 VJ'Jr �Z� 4 D� �` ✓ !! <br /> 120 y ✓ y � 'T, <br /> {µ s 1� ���$ <br /> y ` • x n _ _s ;i i Mui Lt a , �^ �I \� Y��Y..• r- <br /> 8C& l <br /> rwt <br /> 10 <br /> 77 <br /> Relinquished By �Q Date 09 $' Time 3a$ Received B Date Time <br /> V <br /> Relinquished By Date �1 Time Received By a e Time <br /> 3y� <br /> Relinquished Byime Received By Lab Date Time (0ti.4 JR <br /> �r <br /> Were Samples Received in Good Condition*7 0 Yes 0 No Samples on lee? Z Yes 0 No Method of Shipment C4 UV f� __ Page L of �� J <br />