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SEJ10IA ANALYTICAL M 819 West Strik e •Sacramento,CA 95834 •(91 )92 -9600 FAX(916)92 00 <br /> ❑ 680 Chesapeake Dnve• Redwood Crty, CA 94063• (415)364-9600 FAX(415)364-9233 <br /> CHAIN 4F CUSTODY Cl 1900 Bates Ave , Suite LM•Concord, CA 94520•(510)686.9600 FAX(510)686-9689 <br /> Company Name ��-�w Project Name. , - -- <br /> Address Bailing Address( d ddferent) <br /> City. State Zip Code <br /> Telephone FAX# P 4 # <br /> .Report To ampler %ISR zdx <br /> Turnaround Time: =OlNork,,ing Da Working Days O 2 -8 Hours Ana ses Requested] <br /> a <br /> ng Days ❑ 2 Working Days <br /> ❑ 5 Working Days ❑ 24 Hours <br /> Client Date/Time Matrix #of Cont Sequoia's �`�� Comments <br /> Sample I D Sampled Desc Cont Type Sample# <br /> 1 Z/a/3 S "% S f}i 7"?Uo0e /00310 / 4 LL <br /> �4"x- <br /> wuL <br /> 2 Z /3 .res- 1/ Ginw., Go <br /> 3 jgA 2 y <br /> a 4103,w5-3 JV3 r <br /> 5 4 z o 3-VW <br /> sA Z&2 --TfJF WAO <br /> i <br /> 7 J - ylo <br /> 8 <br /> 10 Lj I I <br /> Relinquished By Date Time Received By Date Time. <br /> Relinquished By Date Time Received By. Date. Tirne. <br /> Relinquished By 1 Date Time Received By Lab Date. me. <br /> Were Samples Received in Good Condition?0 Yes 11 No Samples on Ice? O Yes O No Method of Shipment Page�of <br />