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( SEQUOIA ANALYTICAL U 680 Clhesapea a rive riedw000 City, y406s - t•.15) ou<f-960b <br /> D U 819 West Striker Ave. - Sacramento, CA 95834 - (916) 921-9600 FAx , , <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM - Concord, CA 94520 - (510) 686-9600 FAX (510) <br /> Company Name: Project Name: <br /> Address: Billing Address ( if different): <br /> City: State: Zip Code: <br /> Telephone: FAX#: P.O. #: <br /> Report To: Isampler: QC Data: ❑ Level A(Standard) ❑ Level B ❑ Level C ❑ CLP <br /> Turnaround Time: ®-15 Working Days ❑ 3 Working Days ❑ 2 - 8 Hours [Analyses Re uested <br /> 7 10 Working Days ❑ 2 Working Days <br /> ❑ 5 Working Days 0 24 Hours <br /> Client Date/TimeMatrix #of Sequoia's [y r))( ;�t\ <br /> Sample I.D. Sampled Desc. Cont. �/pe Sample # Comments <br /> (I Y12 5-ILT <br /> 2. <br /> 3. <br /> 4. <br /> 5. l <br /> 6. ( - <br /> 7. <br /> 8 <br /> i <br /> • 9. <br /> t0. <br /> Relinquished By: � � <br /> Date: r. jmn,Time: Received Byi '-&u,,- Date: Time: <br /> Relinquished By: <br /> (C%�t,�/ Date;(,�r Time: Received By. Dale: 1 Y71 ime:. <br /> Relin uished By: Date: Time: Received By Lab: Date: ime: <br /> Vac n Nn SamDles on Ice? 0 Yes 0 No Method of Shipment Page_of_ <br />