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iz_ <br /> U 819 Striker Ave., Suite 8• Sacramento, CA 95834• (916) 921-9600 FAX (918) 921-0100 <br /> SEQUOIA ANALYTICALU404 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 /> CHAIN OF CUSTODY <br /> lJ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name: 40-V T, UVe �WL Project Name: �0a tvt. Cts S <br /> Mailing Address: 15`7 r� r BCU � /V1-d-, <br /> Address (if different) <br /> City: 0041 1,V.6Q,�, State: CA Zip Code:9Yj?6 D nQ <br /> Telephone: q�S q75 ~ 0 7s O FAX #:qo2 '711,5' GYBS P.O.#: <br /> Report To: �' �ya GJAW Sampler: t7V ito` QC Data: �A't evel D (Standard) © Level C © Level B ❑ Level A v <br /> Y <br /> Anal ses Requested C <br /> Turnaround UAV orking Days ❑3 Working Days ❑2 -8 Hours ❑ Drinking Water y q a- <br /> Time: ❑ 7 Working Days O 2 Working Days ❑Waste Water <br /> ❑ 5 Working Days 0 24 Hours ❑Other <br /> Client Date/Time Matrix # of Cont. Sequoia's �\Q C,,��G� Comments <br /> Sample 1.D. Sampled Desc. Cont. Type Sample # <br /> 1. 1M w q ��j-��jUV"5 fo <br /> _ o <br /> Cr <br /> LJ <br /> 2.WI DJ <br /> , <br /> 3, 0Aw <br /> 4. <br /> 5. <br /> 6. <br /> o <br /> 7. <br /> Cr <br /> 8. <br /> 9. <br /> 10. <br /> Relinquished By: Date:?j f rj1 Time:q'q 0 Received By: Dat�itTime: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> r Relinquished By: Date: Time: Received By: Date: Time: <br /> _� r-i I r r ^ thodELL._:.. --- <br /> 1=__Wer��t:, 1 _'iva -)nd�!ion?��YPs �� [� 5a�►'on !� a Y 1 No � iPm <br />