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�UOIA ANALYTICAL �❑ 8 arvis rive JFgan Hdl, CA 95037 • (408) 77`-96)0 • FAX (408) 78(-63)s <br /> 819 Striker Ave , • Sacramento, CA 95834 • 916 921-9600 • FAX 916 921-09 <br /> ' Cl 404 N Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 <br /> � CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 • (707) 792-1865 • FAX (707) 792-0342 <br /> i I ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 - FAX (650) 232-9612 <br /> Company NameE <br /> l� Project t, { �,. <br /> Marling Address I,� I--?- ; Billing Address (if different) <br /> City 74 State Zip Code <br /> 5- <br /> Telephone t ; -r, 7 Fax# lj7 rrf j�z - �u P O # It 17 M,�� - _ �,,� Payment Received ❑ Yes ❑ No ai <br /> r <br /> Report To : drift l E-Mail , QC Data Z Level D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround .0-10- 15 Working Days ❑ 3 Working Days ❑2-8 Hours Mandatory Sampler ti <br /> Time ❑ 7 Working Days ❑ 2 Working Days ❑ Drinking Water a .1p 5 Working Daysl ❑ i Working Day ❑ Waste Water e50 � ; <br /> 12.—/f /C7'5 ❑ Other Q,�oJ 0 <br /> Client Date/Tme Matrix # of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample# Pia 1 � f' Comments <br /> iL <br /> sJ �C K' co <br /> K <br /> i <br /> 3 tl fW 71 _ X K x Cr <br /> r ti m <br /> 4 � lwt 41 W <br /> 5 <br /> 6 /}IW— c 0 <br /> ca <br /> 8 o <br /> 'K Nrami <br /> va <br /> Relinquished B ' <br /> q y / Date rI//car Time t f/ Received B Date r 13 Time(�� <br /> Relinquished By ' Date Time Received Date Time ` 5 <br /> Relinquished By Date Time Received By Date Time <br /> f <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No, Samples on Ice? ❑ Yes ❑ No Method of Shipment Page 1 of s <br /> t <br />