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'Ja"viz if, Murydrll rtill, UA `J5UJI • (408) 776-9600 • FAX (408) 782-630 <br /> SEQUOIA ANALYTICAL U 404 Ll 819 Striker <br /> ruite 8Sacramento, CA 95834 • (916) 921-9600 FAX (916) 5100 <br /> 9et LaneWalnut Creek, CA 94598 (925) 988-9600 FAX (925) 988-9673 <br /> WO CHAIN OF CUSTODY v 1455 McDowell Blvd. North, Suite D e Petaluma, CA 94954 a (707) 792-1865 FAX (707) 792-0342 <br /> U 1551 Industrial Road o San Carlos, CA 94070 ® (650) 232-9600 FAX (650) 232-9612 <br /> FMailfing <br /> y Name: ( <br /> r`l'��,(tcr� t��zLrf � ic�t �1"E Project Name: �-� oc�j <br /> ddress: Billing g Address (it different): <br /> City: C� -� fl.�Y S State: C,r_ Zip Code: <br /> Telephone: 0 FAX #: <- <br /> P.O. #: .- <br /> Report To: Sampler: �� , f�L?A_ QC Data: V&Tevel D (Standard) ❑ Level C 0 Level B 0 Level A U <br /> Turnaround �f-10 Working Days U.3 Working Days U 2-8 Hours U DrinkingWater <br /> Analyses Requested <br /> Time: U 7 Working Days U 2 WorkingDaQ <br /> Y's U Waste Water .� 7 <br /> CJ 5 Working Days U 24 Hours U Other <br /> Client Date/Time Matrix # of Cont. Sequoia's �X <br /> Sample I.D. Sampled Desc. Cont. Type Sample # G� Comments <br /> 2. -`t — .h�7 a <br /> Cr <br /> 3. <br /> 4. Kt- -' S o <br /> } <br /> CT <br /> 7. - <br /> e. <br /> 9. <br /> 10. <br /> Relinquished By: ji, (� t L c..,� �__._ Date.-/—13- oil TimeO Received By: te:� 3 Time:J�J�� <br /> Relinquished By: Date: :Time: Received By: Date: Time: <br /> Relinquished 13y: Date: Time: Received B <br /> -- Y 1.Date: Time: <br /> Were Sarnple,s Received in G )Od Condition? ij Yes U fro Sarnples on Ice? J Yes U No Method of Shipment Page of <br />