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ewe_ _ = = = M _ a _ = = M _ _ _ 4 SEQUOIA ANALYTIC d1L J 885 .iarvi5 Drys: • Morgan Hill, CA 95037 • (408) 776-9600 * i-AX (408) 782-6308 J 1455 N McDoweli Blvd Soide D • Petaluma CA 94954 • (707) 792-1865 • FAX (707) 792-0342 CHAIN Of C 1.15 rODY J 819 Striker Ave Suite 8 • Sacramento CA 95834• (9161921-9600 • FAX 1916) 421-0100 tMr 2430 Sprig Court Suite G + Concord, CA 94520 • (925) 356-3150 • FAX (925) 356-0109 Company Name Ir✓r:4 z'Jt�.l 5�.�,�VT� GN _j C= Protect SALI .J0ACY v I N _ — Mailing Address 5- EA v L S v TG 27- 12- ,,/ling Address ',if different) _ — City A LN J2 T CA r-- F,K State "Zip Code 9Y_5-yd Telephone_L225) - ��, Fax# Z ` - 2� I P 0 -- Report To 141 G ELL-E 7E-mail Address y,„ �I,,ert ZeAr it- QC Data Level Il (standard) 13 Level Ili Ll Level 1V j Sampler LP F-C L-E 76H Date 1 Time Results Required (A.)e S f---),yo I i� }� c�ins. c r.m Sequoia s Work Order# Turnaround V 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please provide method Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) ❑ 5 Working Days ❑ 2-6 Hours ❑ RCRA(Hazardous Waste) � W Other a VVV Client Date 1 Time Matrix #of Container Sequoia's �(Q``* J Comments/ Sample I D Sampled Desc Cont Type Sample# ` Temp(If require MVV- 9 1L/,Vug oyc VV 3 0,,,L V/A Q C ✓ 2 M K-7I Z/i3/� 104; �� 11,>3 C ✓ 3 W - � 12,11310512go } v 4 M Vt!- 1345 InH (1r 1v ✓ 5 MW-5 1Z1+3/05' I 1 C 6 M W-3A 12/1 Y105 0615' ' ( ✓ c 7 lel KI -Z A "2,111105 100 8 M vU - 2 I l q/v, 10315 V �o 12/►`/()3 I I q 5 N Relinquished by 1 Co Received by 1 Co Date I Time 1 Temp Relinquished by 1 Co Received by 1 Co Date 1 Time 1 Temp Relinquished by 1 Co Received by 1 Co Date 1 Time J Temp Relinquished by/Co Received by/Co Date 1 Time 1 Temp Were Samples Received in Good Conditions Yes ❑ No Samples on Ices Yes ❑ No Method of Shipment I White Sequoia Yellow Sequoia Pink Client