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la t Ze ss-c/ <br /> SEQUOIA ANALYTICAL ❑ 680 Chesapeake Drive• Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9233 <br /> ❑ 819 Striker Ave , Suite 8 •Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> "qw- 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 Protect Name�e,0 r <br /> Mailing Address Billing Address (if different) <br /> City cc Z/U State `' Zip Code <br /> I <br /> Telephone6W 4CKe-4� <br /> FAX #('y,/5-� �. PO # <br /> Report To Sampler QC Data &kevel D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> �.• <br /> x <br /> Turnaround A 10 Working Days ❑3 Working s ❑2 -8 H ❑ Drinking Water Analyses FtRquested <br /> Time ❑ 7 Working Days Q 2 Working Days LlWaste Water a <br /> ❑ 5 Working Days ❑24 Hours ❑Other Q 11 <br /> Client Date/Time Ees <br /> #of Cont Sequoia's ! �� <br /> Sample I D Sampled Cant TypeW <br /> ampleComments <br /> 1 5/ee ' 1! � /�l <br /> s <br /> 2 �'T,rJ.s`'/S� `l his` ' • Ste- lsi9 /c' 0 <br /> -�_ <br /> 4 —fit•� !,�/ � p �� � -f 7 <br /> 5 <br /> a <br /> 3 <br /> Cr <br /> g S- ZdS `l31�` l4.3 <br /> 10 S-L5 s /L4 <br /> Relinquished By Date Time Received B /5.,&y <br /> _�•�___._!!V� � y 1 Y� ��L+ �---_ Date � Time <br /> Relinquished By 4 Date 1 L Time 5 :e& Received By <br /> , Y,L 44"G '/k� Date `j Time ; 0.0 <br /> Relinquished By Date Time Received By Lab Date Time <br />