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SEQUOIA ANALYTICAL ❑ 680 Clirpeake Driv4,• Redwood City, CA 94063 • (415) 364-9600 FAi'( 364-9.233 <br /> � IK819 West Striker Ave.: Sacramento, CA 95834 - (916) 921-9600 FAX (91 o) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM •Concord, CA 94520 • (510) 686-9600 FAX (510) 686-9689 <br /> Company Name: rid, �n✓ti rou Project Name: SxlE <br /> Address: 1 Or Billing Address( it different): <br /> - z <br /> City: ! 'GGra4m,, i} State: C,4- Zip Code: 9V I <br /> Telephone: y q 3-3 r FAX#: Sc--s� P.O.#: m <br /> r GI..c✓d- - v <br /> Re rtTo: Sam ler: s�-�.�— QC Data: ❑ Level A iSwdard) ❑ Level B ❑ Level C ❑ Level D 1 <br /> Y <br /> C <br /> Turnaround 410 Working Days ❑ 3 Working Days ❑ 2-8 Hours., : ❑ Drinking Water Anal ses Re uested a <br /> Time :❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Das ❑ 24 Hours a ❑ Other <br /> n9 Y N <br /> ' Client Date/Time Matrix #of CQrn Sequoia's ��� ��'` 0�0 <br /> =- J 'Sample I.D. Sampled Desc. Cont. Type .Sample# Comments <br /> SP-�a tw/, eH� cmn <br /> 2. <br /> 3 <br /> - j <br /> f� <br /> I <br /> 4 SP-7o - %S � o <br /> ... <br /> .......... <br /> r <br /> o_ �7 i <br /> 7. M <br /> 8. co <br /> 1 � 1 <br /> 9. s <br /> Relinquished By: Date: Z Time: 30 Receivedby: Date• Z abf time: ,30 <br /> Relinquished By -,-ePp Date: Z Timed 9Ss Recelved By. Date: Time: <br /> ReA wished B Date: Time: Received B Lab:L Daly` lcrjime:a'� <br /> Were Samples Received in Good Condition? Yes O No Samples on Ice'? Yes❑ No Method of Shipment P ' a Page L of-I ? <br />