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M M ice' I, = ■■� ow rti) Iw <br /> ❑ 885 Jarvrsw` Morgan H111,CA 95037 • 408 776-9600 • FAX 408 782-630 - <br /> SEQUOIA ANALYTICAL ID '1455 McD Blvd, Suiye 0 • Petaluma, CA 9,49344(747)792-1865 + FAX(70 92-0342 <br /> ❑ 819 Striker Avg' Sulte 8 • Sacrame,nta, CA 95834 * ( 16)921-9800 • FAX(996) 921-0100 <br /> CHAIN OF CUSTODY Ll1551 1ndustdi ,Road .San Carlos, CA 94070* (650) 02-0600 • FAX(650)232-9612 ' <br /> ❑ 404 N,Wlget Lane • Walnut Creek, CA 94598• (925)988-9600 + FAX (925)988.9673 <br /> Corn an N2me Q projiact wA <br /> a Malling Address Billing Address (If dl erent)' <br /> City, State , Zip Code. <br /> Telephone P 0 Fax#, 21 r P O # <br /> Report To-, IL LU,f4 F-mall Address, <br /> ","QC Data• ❑ Level it (standard) ❑ Level III (3 Level 1V <br /> Sam ler. Date/Time Results a uir d. Sequoia's Work Order# <br /> Turnaround 47 10.16 Working Days ❑ 72 Hours r MANDATORY, ' <br /> Tit=re (Standard TAT) ❑ 48 Hours 1 0 SDWA(Drinking Water) <br /> ❑ 7 Working Days 0 24 Hours ❑ CWA(Waate Wster) <br /> 0 5 Working Days CI 2-8 Hours ; 0 RCRA(Haxerdous Waste) <br /> &L Other"Vnl4t% ' <br /> Client Date/Time Matrix #orfontainer Secluola's <br /> , <br /> Sam le I D Sampled Desc. Cont. S Samole# Comments/ <br /> Tem f reu)red <br /> 3 WW ' <br /> 4. <br /> 5 Mw'ZA l : s, GuS 3 <br /> 6 7//54 t— g:zc) <br /> i <br /> S r <br /> 91 f <br /> Relin ulshed Sy Received By Date 1 Time: <br /> CD Relinquished By 04 Received By Date 1 Time• <br /> Rlelln uished B • Received.Bd Date 1 Time: , <br /> Relinquished By; V Received ByF Date!Time. <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? Yes ❑ No Method of Shipment. <br /> White Sequola r Yelkrvr Sequoia Pink Client <br /> 4 <br />