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SEQUOIA ANALYTICAL +� 680 Chesapeake Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) :' 9233 <br /> ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> 1W CHAIN OF CUSTODY ❑ 404 N.Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name:A TC, Ag SUr 'cJ Project Name: uty o <br /> n o <br /> Address: 7 Av � Billing Address (if different). <br /> City: A&� State: Zip Code:15 5 <br /> Telephone-�c� ctrl X22 FAX #: c)-s79 -PO. #. <br /> Report Tb j e-o�.k w. Sampler: 4 OC Data: VICevel D (Standard) ❑ Level C ❑ Leve! B ❑ Level A U <br /> y <br /> Turnaround ✓0 Working Days ❑ 3 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days ��❑Waste Water <br /> ❑ 5 Working Days ID 24 Hours 0 9 -0( 32_ +et��therq { <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> '� Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # Q.? <br /> Np m1 <br /> s t7f ✓ t;w�i�s 5b b � <br /> 2. M `2 1 �L .0.,r5tL5 D.Sr �C <br /> r <br /> � <br /> I r6.li� z.BP�e.S o� U} <br /> 3. iA ti Ulf�J 1 Z Jr ✓ 1ror cup o <br /> 4. 5 <br /> 5. <br /> 6. <br /> 7. T <br /> 0 <br /> Z3 <br /> 0- <br /> 8. °' <br /> 9. <br /> L <br /> 10. <br /> Relinquished By: Date Time: 1 *S__0 Received By: 4Date: _j Time: /S <br /> Relinquished B <br /> q By: ye2� Date:1--7--1'�2? Time: .3 f37-") Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date.1`4, 0/9 Time: )SED <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? Vr(es ❑No Method of Shipman t tel__ ?� Page �_of <br />