Laserfiche WebLink
SEQUOIA ANALYTICAL J 885 Jarvis Cmve • Morgan Hill CA 95037 • {408) 776-96OU # FAX (408) 782-6308 t <br /> t 4 ❑ 1455 N McDowell Blvd Suite D • Petaluma, CA 94954• (7071792-1865 • FAX (707) 792-0341 <br /> D-DCHAIN OF CUSTODY( -1819 Striker Ave Suite 8 • Sacramento CA 95834 • (916)921-9600 • FAX (916) 921-0100 <br /> LV 2430 Sprig Court Suite G • Concord, CA 94520 • (925) 356-3150 • FAX (925) 356-0109 <br /> Company Name W/- i i-:,N � V 1 rc-N- + ( N� -- Project --,A N . IQAaU1N <br /> Mailing Address C, 6A 2-12, __ BAiny AodieSa (if different)-.City tr G � State Zip Code 9� <br /> I , � ,—� Fax#Telephone �+� <br /> Report To M 1 UHE Lt,67 ZGfi le E-mail Address yo r QC Data WLevel II (standard) ❑ Level III ❑ Level IV <br /> SamplerE ZFHE Date 1 Time Results Required 'ojesipA SU or?5 r�i., Sequoia's Work Order# <br /> Turnaround V 1D-15 Working Days L] 72 Hours MANDATORY ANALYSES REQUESTED Please rrovide method <br /> Time (standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) � <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) \11� <br /> I� Other 3 <br /> Client Date 1 Time Matrix #of Container Sequoia's �� ��i Comments/ <br /> Sample I D Sampled Desc Cont Type Sample# Temp If required) <br /> 1 H -TANK 1:*1105 120W 5 ti% LL ' �` ✓ ✓ P�cvtpE <br /> GEU r A R <br /> 2 <br /> I i <br /> 3 <br /> 4 / �C <br /> 5 <br /> i <br /> 6 <br /> 7 <br /> 8 T7 8 <br /> 10 14 1 <br /> Relinquished by!Co. Received by 1 Co Date 1 Time 1 Temp Qr 12 <br /> Relinquished by 1 Co il Received by 1 Co Date 1 Time!Temp <br /> Relinquished by I Co Received by 1 Co Date 1 Time 1 Temp <br /> Relinquished by 1 Co Received by 1 Co Date I Time f Temp <br /> Were Samples Received in Good Condition? ❑PtYes ❑ No Samples on Ice?X❑ Yes ❑ No Method of Shipment Page_2- of-7. <br /> I <br /> White Sequoia Yellow Sequoia Pink Client <br />