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i <br /> SEQUOIA ANALYTICAL ❑ 885 Jarvis Drive + Morgan Hill, CA 95037 + (408)776-9600 + FAX (408) 782-6308 _ <br /> ❑ 1455 N McDowell Blvd, Suite D + Petaluma, CA 94954+ (707) 792-1865 + FAX (707) 792-0342 <br /> CHAIN OF CUSTODY ❑ 819 Striker Ave , Suite 8 + Sacramento, CA 95834+ (916) 921-9600 + FAX(916) 921-0100 <br /> (if 404 N Wiget Lane • Walnut Creels, CA 94598 + (925) 988-9600 + FAX (925) 988-9673 <br /> Company Name ;�; p��0 L LJT O ; INC. Project SAN JoAau %�j <br /> Mailing Address �j" LV 212 Billing Address (if different) <br /> CrtY IM6 L. t Cge-JE J4, State &A Zip Code LIS-.,9 8 <br /> Telephone 5 50�$ -� Fax#€ &0 ( <br /> PO # <br /> Report To M(CA CLj_e -,7E�j f E-mail Address t C} e Ile_? r QC pate Level 11 standard} ❑ Leval !li ❑ Level IV <br /> Sampler l; (-LIE Date 1 Time Results Required � ��o� '�w 1t . C v�-x Sequoia's Work Order# <br /> Ta round V*15 vuorking Days C! 72 Hours MANDATORY: ANALYSES RB lJ STED ease Drovide method <br /> Time (Standard TAT) ❑ 48 Hours ,:,,i SOWA(ter nking Warr) <br /> ❑ 7 Woriang Days ❑ 24 Hours ❑ CWA(Waft Waror) <br /> ❑ 5 Working Days 0 2.8 Hours ❑ RCRA(Hazardous Waste) <br /> Other ! <br /> Client Date 1 I lme Matrix #of Container Sequoia s Commentsr <br /> Sample 10 Sampled Resc Cont Type Sample h Temp Of mquired <br /> IIS - 9/0 13 <br /> Mid -2. 91M106 12- iA) 3 �» . <br /> 4 B�- X311 o5aq V) U0IA- y y <br /> IVs <br /> s <br /> r, <br /> 10 <br /> Relinquished by 1 Co � p� Received by 1 Co Date 1 Time I Temp <br /> Retinquished by d Co Received by t Co Date t Time!Temp <br /> Relinquished by/Co Received by 1 Co Date 1 Time 1 Temp <br /> Relinquished by/Co Received by 1 Co Date 1 Time/Temp <br /> Were Samples Received in Good Condi4on? ❑ Yes ❑ No Samples on Ice? Lt Yes ❑ No Method of Shipment Page of 1 <br /> White Sequoia Yellomr Sequoia Pink Clienf <br />