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IAIATMRL uMEI uEI re a, aar r, r <br /> 819 5tnke—r�►ve S •3acramen�a,'CA�4• j 92 0 • (91 <br /> �� AIN OF CUSTODY 131551 Industrial R San Carlos, CA 94070 • (650)232-9600 • FAX (650) 232-961 <br /> U 404 N Wiget Lane • Walnut Creek, CA 94598 + (925)988-9600 + FAX (925) 988-9673 <br /> Company Name � gA Project d 00 <br /> Mailing Address b 7-- I/ Billing Address (I different) <br /> City 7'o State Zip Code Gf <br /> Telephone (y YG • Fax# to l P O # <br /> Report To t&pj E-mail Address QC Data evel 11 (standard) (3 Level III El Level IV <br /> Sampler ,M &W Date 1 Time Results Required Sequoia's Work Order# <br /> Tumaround VWIC 10-15 Working Da ❑ 72 Hours MANDATORY: ANA LY ES REQUESTED Please Drovide method <br /> Time (Standard TAT) ❑ 48 Flours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazard <br /> �t_Other <br /> Client Date I Time Matrix #of Cona s i Comments/ <br /> Sample I D S m led Desc Cont Sample# Tem If required) <br /> 2 Alto <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 110 <br /> Relin uished By Date 1 Time lqa_ JW <br /> Relinquished By V Date 1 Time <br /> Nelinqulshed By. Received B • Date 1 Time <br /> Relinquished By Received By Date 1 Time <br /> Were Samples Received in Good Condition? 0 Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page of <br /> White Sequoia Yellow Sequoia Pink Client <br /> I <br />