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r rr r r� rr rr �r r ■r r� r r rr <br /> SEQUOIA ANALYTICAL ❑ 885 Jarvis Drive • Morgan Hill, CA 95037 • (408)776-9600 • FAX (408)782-6308 <br /> t7 1455 N McDowell Blvd, Suite D + Petaluma,CA 94954• (707)792-1865 + FAX (707)792-0342 <br /> �� CHAIN OF CUSTODY -0 849 Striker Ave , Suite 8 * Sacramento, CA 95834• (916)921-9600 + FAX(916) 921-0100 <br /> ❑ 404 N Wiget Lane a Walnut Creek, CA 94598• (925)988-9600 • FAX(925)988-9673 <br /> Company Name 8,P Protect <br /> Mailing Address 1p 1kfk Biliing Address(if different) <br /> City 4/6--446.) Stale * Zip Code v3 <br /> Telephone21 Fax# L PO # <br /> Report To qj� E-mail AddressL4^L ,,,r er 4,r,,M QC Data Level If(standard) Ll Level III ❑ Level IV <br /> Sampler Date 1 Time Results Required Sequoia's Work Order# -1 Q <br /> Turnaround 10-15 Working Days ❑ 72 hours MANDATARY ANALYSES REQUESTED Please orovide method <br /> Time (Standard TAT) Q 48 Hours ❑ 3DWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> (7 5 Working Days ❑ 2-8 Flours ❑ RCRA(Hazardous Waste) <br /> ❑ Other <br /> 9 <br /> Client Date 1 Time Matrix #of Container Sequoia's �� Comments/ <br /> Sample I D Sampled Desc Cont Type Sample# rem if uired <br /> 2 -2- <br /> 3 3 <br /> 4 Z3 <br /> s 2 S 133o �' �U tv <br /> ti <br /> 7 2-6 <br /> 9 28 ZeL <br /> fiti,�a �U 1 <br /> /71SS 'ly /(J irk <br /> 10 "o x <br /> Relinquished by 1 Co ' Received by/Co bate/Time!Temp (a- �-D f <br /> Relinquished by/Co t Received by 1 Co Date 1 Time 1 Ternp - 5r a-f r io <br /> Relinquished by 1 Co Received by 1 Co W" Date/Time 1 Temp <br /> Relinquished by 1 Co Received by/Co Date 1 Time I Temp <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page/—Df--/– <br /> White Sequoia Yellow Sequoia Pink Client <br />