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❑ 885 Jarvis Drive • Morgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> SEQUOIA ANALYTICAL '14 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0700 <br /> ❑ 404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> V CHAIN OF CUSTODY O 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name: Project Name: CC _ PC,4 V't rS� <br /> Mailing Address: 3 Billing Address (if different): <br /> City: 4 v iw State: Zip Code: $e,K or( "t„�s Stiw�c a F}n —v 14 ` Pedvu <br /> Telephone: _m?- 36� FAX P.O. 9-�02Z Ce kl Y iw/ <br /> Report To: —54[ D SD Sampler: - QC Data: 7 (Level D (Standard) ❑ Level C Level B ❑ Level A r, <br /> Turnaround ?4-10 Worki4 Days ❑3 Working Days ❑2 -8 Hours ❑ Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Watera- <br /> ❑ 5 Working Days ❑24 Hours ElOther <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample # (�� ( �° Comments <br /> m <br /> 2. � Z i / Q cr a <br /> S� y f rn <br /> 3. pa 3 <br /> 4. <br /> 5. <br /> 6. N 0 <br /> 7. FOLbb� <br /> o <br /> 1'P a <br /> C <br /> 6. � (�� Cr <br /> W <br /> 9. _d <br /> L <br /> 10. <br /> Relinquished By: Received By teal Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Were Samples Received in Good Condition? U Yes U No Samples on Ice? *Yes U No Method of Shipment_ 0214 it Page of <br />