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❑ 885 Jarvis Drive o Morgan Hill, CA 95037• (408) 776-9600 • FAX (408) 782-6308 <br /> UOIA ANALYTICAL 7 1455 McDowell Bl&orth, Suite D • Petaluma, CA 94954• (707) 792-1865 • FAX (7 -0342 <br /> ❑819 Striker Ave., S 8 •Sacramento, CA 95834• (916) 921-9600• FAX (916) 921-01 <br /> Iwo MAIN OF CUSTODY ❑ 1551 Industrial Road•San Carlos, CA 94070• (650) 232-9600• FAX (650) 232-9612 <br /> ❑404 N. Wiget Lane a Walnut Creek, CA 94598•(925) 988-9600• FAX (925) 988-9673 <br /> f IL Company Name: Project: �wf �� fZ14J,15 <br /> Mailing Address: if 5T* Billing Address (it different): <br /> City: ` tate: C�— Zip Code: �t Z� Z <br /> c <br /> Telephone: t <br /> 777 2_ Fax#: P.O. #: �b� <br /> U <br /> Report To: E-Mail: rockoG62 qofjpqS�. Ca QC Data: evel II (Standard) ❑ Level III EI Level IV <br /> c <br /> Sampler: Date/Time Results Required: Sequoia's Work Order# °- <br /> Turnaround10- 15 Working Days El72 Hours MANDATORY: ANALYSES REQUESTED(Please provide method) <br /> Time: (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> O 5 Working Days ❑ 2-8 Hours ❑ MCRA(Hazardous Waste) XCommenW <br /> �� <br /> Ll Other !� Temp.(If required) <br /> Client Date/Time Matrix #of Container Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> 0 <br /> Cr <br /> CD <br /> 2, jr 1y7�'L CO <br /> 3. 0 <br /> 4. <br /> 5. <br /> 6. IC r Loo <br /> Cr <br /> -�7. C/, <br /> 8. <br /> 9. <br /> 10. 1 Al <br /> Relinquished By: Received y 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 Condition? a Yes U No Samples on Ice? o Yes 0 No Method of Shipment Page of <br />