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SEQUOIAC) 819 <br /> e , Suite 8- Sacramento, CA 9534 * <br /> 16) <br /> ANALYTICAL ❑ 404 Ntrni WIgLane *Walnut Creek, CA 945988 (92 5)9 <br /> 988-9600921-960 <br /> 88 96006FA FAX <br /> 98899673100 <br /> Cl 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> CHAIN OF CUSTODY ❑ 1551 Industrial Road • San Carlos, CA 94070 * (650) 232-9600 FAX (6'50) 232-9612 <br /> lq <br /> Company Name Ic Protect Name Q� v►' d <br /> _ .0 / <br /> Mailing Address IG TDh �, v�1 /�$� Billing Address (if different) <br /> E` <br /> City <br /> m Sta e C Zip Code $Z 0 <br /> Telephone �3 d FAX # �0 6/ PO # 9? <br /> Report To ! t Sampler �g / OC Data ❑ Level II (Standard) ❑ Chromatograms ❑ Level III ❑Level IV v <br /> S Y <br /> P C0 c <br /> Turnaround K Standard 0 7 Working Days ❑2 Worki ays ❑Dunking Water <br /> 0 Analyses Requested a <br /> Time 10-15 ❑5 Working Days CI 1 Working Day 0 Waste Water \ <br /> Working Days �4 <br /> ❑3 Working Days ❑ASAP Other t, <br /> Client Date/Time Matrix # of Cont Sequoia's ``� Comments <br /> Sample I D Sampled Des Cont Type Sample# <br /> 1 �— 6 3 i ,,�� +� 3 da 905169 3 <br /> -- Cr <br /> 2 IOW w 5_ �T� 1,� �/ YO,,l 9051693 <br /> /n 'J-- f� IFTJ �o Qo (Al mL 905169,4 �C.. <br /> 3 <br /> 4 n,L 905169 <br /> 5 ttl 3� (Sl i fin/ lant- 905169 <br /> 6 <br /> 0 <br /> 7 Cr <br /> U) <br /> 8-- <br /> -9-_9 <br /> 10 <br /> If 10 J j <br /> Relinquished By Date 5119M Time !6:00 Rec a e 4Time <br /> Relinquished By <br /> ,me Receive y Relinquished By <br /> eceive y Lab DatV/S/1 16 <br /> Were SaSs Received in Good Condition? 0 Yes ❑ No Samples on El Yes El No Method of Shipment <br /> P Of <br /> I• 1• t� <br />