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41) SEQUOIA ANALYTICAL L1 885 Jarvis Drive • Morgan Hill, CA 95037 + (408)776-9600 • FAX (408) 782-6308 <br /> ❑ 1455 N. McDowell Blvd, Suite D. + Petaluma, CA 94954• (707)792-1855 + FAX (707)792-0342 <br /> CHAIN OF CUSTODY L7 819 Striker Ave., Suite 8 + Sacramento, CA 95834+ (916)821-9600 + FAX (916)921-0100 <br /> ❑ 404 N. Wiget Lane * Walnut Creek, CA 94598+ (925)988-9600 + FAX (925) 988-9673 <br /> Company Name- u) G Project: <br /> Mailing Address: Billing Address (if different): <br /> City: State. Zip Code: -2-0/- <br /> -Telephone: Fax#: P.O.#: <br /> Report To: E-mail Address: QC Data: ❑ Level II (standard) ❑ Level III ❑ Level IV <br /> Sampler: Date 1 Time Results Required: Sequoia's Work Order# Cl/F H 0 <br /> Turnaround ❑ 94-15 Working Days ❑ 72 Hours MANDATORY: ANALYSES REQUESTED Please rovide method <br /> Time: (Standard TAT) ❑ 48 Hours 0 SHWA(Drinking Water) <br /> 0 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> U 5 Working Days ❑ 2-8 Hours ❑ RCiZA(Hazardous Wastes <br /> ❑ other ) ya <br /> Client Date f Time Matrix #of Container Sequoia'sV� Comments/ ! <br /> Sample,I.D. S m fed Desc. Cont. 1yee Sample# 't Temp.(lf required <br /> At <br /> 2. <br /> 3. <br /> 4. <br /> 5 <br /> 6. <br /> 7. <br /> a. <br /> i <br /> 9. <br /> 10. i <br /> Relinquished by 1 Co.: Received by/Co.: Date/Time/Temp.:3t a <br /> Relinquished by/Co.: Received by 1 Co.: Date/Time/Temp.: <br /> Relinquished by I C Received by/Co.: Date/Time I Temp.: —f <br /> Reiinqulshed by I Co.: Received by/Co. Date/Time/Temp.: <br /> ",re Samples Received in Good Condition? 92,4es ❑ No Samples on ice? 'Q-"Yes Q No Method of Shipment:_U&r�'5 L� Page <br /> -1of <br /> White: Sequoia k Yellow: Sequoia PiekS Client <br />