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im- SEQUOIA ANALYTICAL El 680Apeake Drive• Redwood City, CA 94063• (650) 364-9600 FAX ( 3 <br /> VW 0 819 Striker Ave., Suite 8•Sacramento, CA 95834• (916)921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑404 N.Wiget Lane• Walnut Creek, CA 94598• (510)988-9600 FAX (510) • <br /> ( ) 988-9673 <br /> Company Name: P!qrR t Project Name: L <br /> I V M t�td. <br /> Address: �O <br /> Billing Address (if different): <br /> City; SrDgr(bj State: CA- Zip Code: <br /> Telephone: 20q �� Z ' ?.d FAX#: S� P.O. #: «. <br /> Report To: .0 <br /> a� <br /> One-44c.o�. — Sampler: , OC Data: Level D (Standard) ©Level C 0 Level B ❑ Level A v <br /> Turnaround Working Days U 3 Working Days p 2-8 Hours ❑Drinking Water <br /> r 9 Analyses Requested � <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water 0- <br /> El <br /> ❑ 5 Working Days ❑24 Hours U Other <br /> Client Date/Time Matrix #of Cont. Sequoia's <br /> Sample I.D. Sampled Desc, Cont. Type Sample# Comments <br /> 1. <br /> KF- 1 1111 .Z k vJ <br /> 2. KF -z 2, q5 Cr <br /> KF- <br /> 3. - <br /> 4. } <br /> 5.6. , <br /> ' { <br /> . <br /> Lj1 <br /> J.- <br /> 0 <br /> 8. ti Cr <br /> Q <br /> 9. <br /> {r <br /> 10. <br /> Relinquished By: <br /> Date: ( c Time: J Z;uo Received By: j Date: z { Time: L"la, <br /> Relinquished By; Date:t Time:Z-' Received By: <br /> Y Date: Time: <br /> Relinquished By: Date: Time: Received By L ,/ <br /> l7 Dated z`t Time: 30 <br /> Were Samples Received in Good Condition? ! Yes 0 No Samples on Ice? gYes U No Moth d of Ship ent Paae of <br />