Laserfiche WebLink
L) 885 Jarvis Drive • Morgan Hifi, CA 95037 - (408) 776-9600 • FAX (408) 782-6308 <br /> SEQUOIA ANALYTICAL X 819 Striker Ave., Suite 8 -.Sacramento, CA 95834 • (916) 921-9600 - FAX (916) 921-0 100 <br /> - ❑404 N. Wiget Lane • Walnut-Creek, CA 94598 - (925) 988-9600 • FAX (925) 988-9673 <br /> %W CHAIN OF CUSTODY ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 - FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 • FAX (650) 232-9612 <br /> Company Name: 6 t B f S+n C k 'o v1 Project: F�l e( 1n Gl yS PS <br /> Mailing Address: ,'iso p WOLV Y DV-, Billing Address (if different): <br /> City: S` v C Iz +-o„\ State: GR Zip Code: q SZ0(, <br /> Telephone: g(, Fax#: E.-Loot) 911 -$-7 0 8 P.O. #: Payment Received: ❑Yes ❑ No A? <br /> U <br /> Report To:( �,� , (��,� E-Mail: OC Data: XLevel D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> CZ <br /> Turnaround j� 10 - 15 Working Days ❑ 3 Working Days ❑2 -8 Hours ' Mandatory: Sampler: a.. <br /> Time: ❑ 7 Working Days ❑ 2 Working Days ❑ Drinking Water <br /> (:15 Working Days ❑ 1 Working Day ❑ Waste Water ��h �LK "� f)� ��Q <br /> d'Other ¢� 6 X <br /> C, �r�yo�.lQ(���,� 1g� <br /> a <br /> Client Date[Time Matrix # of Cont. Sequoia's cm�y ^ �`Q�y�a �� P Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> Yo^c X P / ffCl <br /> 1.�il/arlopc'„I912- Z)1 I,Vo9 � 3 vat} <br /> 2. L�»,herI.-Inni Al X T <br /> W rel r-L., <br /> 3. Q�Mer• ��cS. w/ f�C Cri <br /> 4. <br /> nlcr fr c p rc5. �/ q A167 <br /> -- 3 <br /> 5. <br /> ya MC <br /> 6.I7° C��l ��t G 8 200! �N35 ,3 VeA <br /> 7. m bi v- <br /> I U) <br /> 9• l.esf-rte <br /> x Pee; . w/fIlVO a� <br /> t <br /> `7 <br /> Relinquished By: Date: zc d/ Time:I5'2-y Received By: Date• O- •0 Time: /Sri <br /> Relinquished B Dat ' Time: Mt Received By: ��. �'� Date: Time: /.�c' i— <br /> Relinquished B�yv�-�, �L` Date:�'TI-r(, Time: /(/3o Received Am� Dater ltd Time: +t{, <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? U Yes.❑ No Method of Shipment C' Llc'& Page of,1- <br />