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W480 Chesapeake Drive - Redwood City, CA 94063 (650) 364-9600 FAX (650) 364-9233 <br /> SEQUOIA ANALYTICAL p y <br /> ❑ 819 Striker AvE , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> VW 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 AT(— k -J iv Project Name '-,9,A _Q's6 3 09 1 <br /> Mailing Address M1 Lnn,,z -PoI . Ave- - t3 Billing Address (if different) <br /> City Mod e-�.�o State Zip Code <br /> Telephone 2.0 -57"1- 2 Z � FAX # 5 7e7_ -Z2-zS- PO # � <br /> m <br /> Report To ,-z,�,, � t Sampler ft QC Data Zevel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Y <br /> Turnaround 0 Working Days ❑3 Working Days ❑ 2 -8 Hours ❑ Drinking Water Analyses Requested o <br /> Time ❑ 7 Working Days ❑2 Working Days Z <br /> G Iy� � } ©Waste Water <br /> CJ Working Days ❑ 24 Hours �`�`r G (11 63'Other <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> 1 rAw -- 1 O��L�n J til `! '4* V/ ✓ 4/0, TPy p;.ef<e,J o <br /> 3 Muj, 3 lcg3 5 <br /> 4 <br /> 5 <br /> 6 <br /> css <br /> 7 0 <br /> +T <br /> i v <br /> 8 rn <br /> m <br /> 9 <br /> 10 <br /> Relinquished By Date �, Time Received By �-�, { Date 7 Time ��� <br /> '-tmquished By Date Time Received By Date Time <br /> n r. r.. r-)--- -A n i L, I/lz n.,0„ T.—, �Gr n <br />