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SEQUOIA ANALYTICAL `�' 680 Chesapeake Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9233 <br /> U 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> WO CHAIN OF CUSTODY U 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: ATC A�,c,)re�j p C/ �'�� N <br /> Mailing Address:jj 7 ! Billing Address (if different): <br /> City: N c . ' State: Zip Code:c� _ ✓ <br /> Telephone:;70 y7` _ . FAX #:A? .�� S` P.O. #: a <br /> Report To: i Sampler: L /y��L' QC Data: 'vel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> / SI i( S Y <br /> Re <br /> Turnaround 10 Working Days 3 Working Days L) Anal 2 - 8 Hours ❑ Drinking Water Yses q uested 0- <br /> Time: <br /> Time: ❑ 7 Working Days ❑ 2 Working Days O Waste Water ►; <br /> ❑ 5 Working Days ❑24 Hours V On v Js V/OthenG�� ' <br /> Client Date/Time Matrix # of Cont. Sequoia's �:� ,L v r Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # �0 /,�• <br /> AS 5 40 J <br /> 2. rhw-Z ii5� �� cn <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> ro <br /> 7. o <br /> Q <br /> a� <br /> 8. <br /> a� <br /> 9. L <br /> 10. <br /> Relinquished By: ,Q Date:(_),'/7c r Time:/'`Sy�O Received By:y),,,,, `fDate: Time:/-5- <br /> Relinquished <br /> ime:/SRelinquished By: �j/� �,. Dater - Time:�� �5� Received By: Date: Time: <br /> Relinquished By: Date:` Time: Received By Lab: Date:� 7 Time:/ 707 <br /> /t/AIL� <br /> Wer- -Jt .f r Qo^,eivec+ �^ rf I r�nrltion? � i16 r1 Np 1 SamnlP$ on 1. f(� jj'Yes prNo �i l � ► r , Pat-, fj oI 1 � <br />