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❑ 885 Jarvla Drive * Morgan HIII,CA 96037 * (408)776.9600 * FAX(408)782.8308 <br /> ,, LI 1466 McDowall Blvd,Salts D. * Petaluma, CA 94954• (707)792-1865 * FAX(707)782.0342 <br /> SEQUOIA ANALYTICAL ❑ 818 Straker Ave., Sudo 8 • Sacramento,CA 93834+ (916]021-9640 * FAX(9161,921-0100 <br /> CHAIN a ' CUSTODY W 1551 Industrial Road * San Carlos, CA 940TO 4, (650)232-0600 • FAX(650)232-0612 <br /> U 404 H.Wlget Leine • Walnut Creek,CA 94598* (925)9813-9500 * FAX(92$)988-9073 <br /> Company Name. ,. ( t Protect. sa <br /> Melling Address; `"7 , �' eL� ti t � Billing Address(ll differs <br /> Clty Cr w„ StateZip Code ; <br /> Tofu horse: Fax#• qZ-,74 6#0 Z461R 0.A <br /> iZepart To. Tu. as <br /> L v,,� E-mai!Address,• C S,• , _ QC Data: evel 1! (standard) ❑ Level ill ❑ Level IV <br /> Sam ler: ob.,I I pate I rime Results Required-_ sA -4 mC-1 Se uola's Work Order# <br /> Turnaround Gr"%15Wark1n0 days 0 72 Hours MANDATORY: a nrovide.mothodl <br /> Time (Standard TAT) 0 48 f irs 0 SDWA(Drtnklnp Water <br /> U 7 WoWria Days u 24 Hours Lit'CWA(Waste Wotan �VV <br /> ❑ 6 Woong Days D 2.6 Hours 13 <br /> 0 ROthoRA <br /> (Hazardous Waste) LQ �•,r �C <br /> CDent pate I Time Matrix #of Container Sequoia`s r Commsn%4 <br /> sample I D Sam fed Desc Cont. T Sam !e# Lti. ► Tem If re uirad <br /> 1 � n o \4 ",,a A M302CL <br /> 2 v.+ 3 <br /> 1\/Q Air *63 XS ' <br /> 4 Ak 30,3 I.T10 W a L) <br /> S3W Vi <br /> p � <br /> 6 <br /> 7 <br /> , <br /> 8. <br /> 9 , <br /> 10 <br /> Relinquished Ely: ASLt Received i3 : '� = Date I Time; <br /> Relinquished 8 ., Recelv6d B • Date I Time:a_,2&63 afEi) <br /> RelinquishedReceived B Date I Time:�2G- <br /> Relinquished 8y, Received DA I AM&C71 t16NV Date/Tlme. k <br /> Were Samples Reeelved in Good Condition? Yes fl No Samples on Icu? Yes ❑ No Method of Shfp t. Page_J_of_L_ <br /> While Sequoia Yellow. 5equole PkkcAl"11 <br /> ori ■.rte t� I• OT = Ml r <br />