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X80 Ch give • Fsedwood City, CA 94063 • (650) 3�4-960d FAX (650) 364"'"" 3� <br /> SEQUOIA ANALYTICAL ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> z <br /> CHAIN OF CUSTODY ❑ 404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name:A-fC A3iSa-igA'S -Tm c Project Name:(/Qum Frplper4y 1786/. 000 <br /> Mailing Address:///7, ( iX. re! s' Billing Address (if different): <br /> City:Jilaes r/0 State: Ca- Zip Code:9s35-/ <br /> Telephone:Z09-579- 22 Z� FAX #: ;b9-5 7P --aZ P.O. #: � <br /> Report To: to o s Sampler:( - �,�� OC Data: evel D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround p Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested ft- <br /> Time: <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water O <br /> ❑ 5 Working Days ❑24 Hours .'K0ther4kJ <br /> Client Date/Time Matrix # of Cont. Sequoia's ,� �°4�a Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> +DVA a ec io,— <br /> 1. -- I car��q r 4� 3 I�ss f V 0 6 r <br /> SAS., a 0, pa <br /> 2. 142D 3 VE71C. 'f(MSC_ <br /> pT6Vi �. CO�i1tS Ofr- , <br /> 3 t4 W 3 3 >� +/ lacgw�a4a ray p <br /> i C iaw.a o 3 <br /> L f �/ ram+s S+ar,�{rrtda i <br /> 4. 14►-7 <br /> 5. <br /> 6. <br /> 7. o <br /> 8. m <br /> 9. �. <br /> 10. <br /> Relinquished By: 7"-145, 1-./ Date:0317,94 Time: Received By: Date:.i J2--9.� Time: A, <br /> Relinquished By: Date: Time: Received By. Date: Time: <br /> Relinquished By: Date: Time: /Received By Lab: Date: Time: <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? &'Yes ❑No Method of Shipment GO 0 V Page=of <br />