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OUT AL1A�i C> Jarrl�ve ani CA • �77i?�• F=08)30 <br /> O 1455 McDowell rth uite D• etafuma, CA 94954•(707) 792-1865•FAX (7 -0342 <br /> �19 Stnker Ave , S •Sacramento, CA 95834• (916) 921-9600• FAX (916) 921-0 <br /> LIrCAIN, OF CUSTODY ❑ 1551 Industrial Road•San Carlos, CA 94070•(650) 232-9600• FAX (650) 232-9612 <br /> ❑404 N Wiget Lane•Walnut Creek, CA 94598•(925) 988-9600•FAX (925) 988-9673 <br /> Company Name L T Protect <br /> 16003M <br /> Mailing Address q T Billing Address (d different) <br /> City lj State Zip CodeS 3 <br /> Telephone 3� <br /> g. Fax#. $ 3 y P O # 0) <br /> U <br /> Report To E-Mail QC Data *4evel II (Standard) ❑Level III ❑ Level IV <br /> Sampler . 6 k;Date/Time Results Required Sequoia's Work Order# a- <br /> Turnaround - 15 Working Days ❑ 72 Hours MANDATORY: ANALYSES REQUESTED Please rovide method <br /> Time: (Standard TAT) ❑ 48 Hours O SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours O RCRA(Hazardous Waste) <br /> Comments! <br /> Other Temp(If requUedi <br /> Client Dateffime Matnx #of Containef Sequoia's <br /> Sample I D Sam led Desc Cont Type Sample# <br /> 1 FL X 01 310 I 1 wyl <br /> s <br /> Cr,74D <br /> "r n CDW <br /> �s Y <br /> 5 �* R <br /> 1� S <br /> F t k � n `h Q <br /> r <br /> 4 <br /> c <br /> ry+ <br /> w ° n } a rid' t>R t� gfi C <br /> Cr <br /> 7 ti$t y �� ' ' � �i'E �1y 'Ni ►S �c' 5x <br /> a r p <br /> 9 <br /> 110 <br /> Relinquished By: r S r f Received By l Date/Time <br /> Relinquished By: Received By Date/Time <br /> Relinquished By, Received By Date/Time <br /> Relinquished By Received By Date/Time <br /> Were Samples Received In Good Condltlon? 0 Yes 0 No Samples on Ice? p Yes 0 No Method of Shipment Page of <br />