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SEQUOIA Redwood`Y: (44 ti <br /> M,obs Chain of Custod � �� (510)68&9600 Y �� ANALYTICAL Sacramento: (916)921-96VO <br /> Consufting Firm Name: Site SS Phase of Work: . y <br /> ❑ A. Emrg. Response <br /> Address: _ 75W Mobil Site Address: U i'12 <br /> 0 B. Site Assessment <br /> e0 M bil Engineer: ❑ C. Remediation <br /> Tele horseFAX#: Consultant Project#: 0 D. Monitorirx,�� <br /> Project Contact: �Sarnpled b : S uoia's Work Order Release#: ❑ E. OGC/Claims <br /> Anal ses Re uested <br /> Tumaround Timm:'PStandard TAT(5 - 10 Working Days) <br /> ❑ Other <br /> Client DatelTime Matrix #of Sequoia's �� ID QR b, <br /> Sample I.D. Sampled Description Containers Sample# �Q� �Q� ��QP O�QP Comments <br /> I. <br /> 2. c�- �' • n 1 7� <br /> k. a. <br /> 5 �✓' . -C <br /> �'• <br /> 6. <br /> 7. <br /> F <br /> 9. <br /> ta. " <br /> Relinquished By:, e: Z me: -�5 Received B Z Time: 03 <br /> Relinquished By:.�`7 Date: Time: Received B Date: Time: <br /> i� i B D Ti Received. B D&, Ti <br /> Method of Shipment_ _ Page_of <br />