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r■r r r r yr r� �r it � r r r rr r■� r■� r <br /> SEQUOIA ANALYTICAL ❑ 885 Jarvis Dnve + 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)792-034.2 <br /> CEWN OF CUSTODY ❑ 819 Stnker Ave ,Suite 8 + Sacramento, CA 95834+ (916)921-9600 + FAX (916) 921-0100 <br /> 404 N Wiget Lane + Walnut Creek, CA 94598+ (925)988-9600 + FAX(925) 988-9673 <br /> Company Name IN, �p N 6 LV TI t�N S INC- Prosect siq N oA V <br /> Mailing Address (rj`7 -rte -r - -re, 2— Billing Address(d different) <br /> City LN CREEK State Zip Code <br /> Telephone 2 _ 9 �- Fax# 9 25. O 99 P O # $ <br /> Report To ZE 14 P, E-mail Address ftj;c_kC �,zelEr� QC Data $[ Level II (standard) L1 Level III C3 Level IV <br /> Sampler M LLQ H pate/Time Results Required W>~S vt�a u SES.Con., Sequoia's Work Order# <br /> Turnaround X 1045 Worlang Days ❑ 72 Hours MANDATORY. ANALYSES REQUESTED Please provide method <br /> Time (Standard TAT) ❑ 48!-lours ❑ SDWA(Dnnidng Water) <br /> ❑ 7 Worlang Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Worlang Days ❑ 2-8 Flours ❑ RCRA(Hazardous Waste) <br /> X other M ON.VVE L L <br /> Client Date/Time Matnx #of Container Se uoia's ,g �� <br /> Sam fe!D <br /> Sampled Desc Cont Type Sam le# �q Q7� Comments/ <br /> 1 w� 1,s y/05- f(,Yap �j y0rw,L VIAL �` Tem If required) <br /> 3 <br /> /�` t pRo v I*DE <br /> r11V A /W05, 1155" f�V .. � ✓ V 6EO-MA�<4 <br /> 3/ 2 0� I5i5 LAI 3 —70 ✓ ✓ ► bJ. <br /> 12-2 fOs 172 W <br /> 9 <br /> 10 <br /> AgE <br /> COSTO N Received by 1 Co <br /> Co ate/Time 1 Temp• U45 e� <br /> Received 1 CO Date 1 Time/Temp <br /> Co Received by/Co <br /> by 1 Co Date 1 Time I Temp t i <br /> Received by I Co. Date/Time 1 Temp <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? } Yes ❑ filo Method of Shipment Pae of <br /> White Sequoia Yellow Sequoia Pinsk tient <br />