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ems ® um m m m rAr r m m m m Mimi <br /> • <br /> SEQUOIA ANALYTICAL �� sapeake Dnve-Redwood City, CA 54063-(415) 384-964a FAX(41 4-9233 <br /> L) B19 Striker Ave , Sufte 8-Sacramento, CA 95834-(916) 921-9600 FAX (916)921-D1oo <br /> CHAIN OF CUSTODY <br /> ❑ 404 N Wiget Larte - Walnut Creek,CA 94598- (510)988-9600 FAX (510) 988.9673 <br /> p" Company Name ..,,, `�a�t,�; project Name. ` z�. ta3 <br /> Address ti .�; �,, ���� Billing Address(if different) {�.��; M q& <br /> i0 <br /> City. State CA ZlpCode q 449 <br /> el hone FAX# P,O # <br /> Re ort To ttia.-%L �o a lccw.•- S ler ►+.:r,4j S c .Jl 0 <br /> QC Data. Eklevel D Standard Q Levet C ❑Level B ❑ Level AA U <br /> Turnaround X10 Working Days ❑ 3 Working pays ❑2-8 Hours Drinking Water A1a1 Sas Requested] <br /> Y <br /> c <br /> Time. ❑ 7 Working Days a 2 Workln Da a. <br /> ❑ 5 WorkingDays g � ❑ waste Water � <br /> 5 ❑ 24 Hours q J0} E yy ❑ other <br /> Client Date/Time Matrix #of Cont <br /> Sequoia's w <br /> Sample I D Sampled Desc Cont Type Sample# F y Comments <br /> 1. 5- 5 S`t4p tlt ] e� i3r3 .t yl6-I V O <br /> 2 13- to►] - IciiJ j 11sle oy ✓ v <br /> 3. - (r 3 - i q 0 r iii`l bill c. <br /> 4 S - to - t q i 4 lei U� y v r <br /> 5 <br /> 8 <br /> 7 rj 5 <br /> 00 10 <br /> m <br /> Relinquished By Date t 1'.P-1gS Tima. tvpo Received BY`?" SjZ•. -' Date g.7 <br /> m Relinquished By Date /Z7JY Trme/wit, Received 13y Date, me <br /> v <br /> >:lelm ulshed B Date Time Received A Lab Dat • me: <br /> Were Samples Received in Good Condition?�Wes❑No Samples on Ice? Yes C7 No Method of S Wdc47r- page of <br />