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♦ U 600 Chesapeake Drive• Redw000 laity, UA 94061 • t415) 1u,r960u <br /> SEQUOIA ANALYTICAL Y <br /> U 819 West Striker Ave. • Sacramento, CA 95834 • (916) 921-9600 FAX , <br /> CHAIN OF CUSTODY o 1900 Bates Ave., Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (511, <br /> Company Name: ) ( , Project Name: } <br /> Address: Billing Address ( if different): <br /> City: State: Zip Code: <br /> Telephone: FAX M P.O. 8: <br /> Report To: Sampler: OC Data: 0 Level A(Standard) ❑ Level B ❑ Level C O CLP <br /> Turnaround Time: 13-15 Working Days O 3 Working Days 0 2 -8 Hours jAnalyses Re uested <br /> ❑ 10 Working Days ❑ 2 Working Days <br /> p 5 Working Days ❑ 24 Flours <br /> Client Dalelrime Matrix H of Cont. Sequoia'stv <br /> r^ <br /> r . <br /> Sampie I,D. Sampled_ - Desc. Cont. /Pe Sample N \ ' ^� Comments <br /> — 'A r <br /> weue X /< <br /> 2. <br /> 3 <br /> 5. <br /> 16 Y <br /> 6. <br /> 7. <br /> 8 <br /> i <br /> 9. <br /> 10. <br /> Relinquished By: W/p,, ,� "— Date: ,Time: Received By & 1,> _ Date: ime: /6 11 <br /> Relinquished By: Nom/ Dr 1 Time: Receivdd By. Date: g <br /> ate <br /> Relin uishe.d By: Date: Time: Received By Lab: Date: Time: <br /> n ves O Nn Mathnrl of Shipment Page _of_ <br /> ..-- _ <br />