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❑ 885 Jarvis Drive + Morgan Hill, CA 95037 + (408) 776-9600 + FAX (408) 782-6308 <br /> SE UOIA ANALYTICAL ' 1455 McDowell Blvd, Suite D + Petaluma, CA 94954+ (707)792-1865 + FAX (707)792-0342 <br /> 4 4D Q L3819 Striker Ave, Suite 8 + Sacramento, CA 95834+ (916)921-9600 + FAX (916) 921-0100 <br /> 1WCHAIN OF CUSTODY ❑ 1551 Industrial Road + San Carlos, CA 94070 + (650)232-9600 + FAX (650)232-9612 <br /> 404 N Wiget Lane + Walnut Creek, CA 94598 + (925)988-9600 + FAX(925)988-9673 <br /> Company Name Protect '/I5 A <br /> Mailing Address 7� '� Billing Address (if different) <br /> City C4,et K_- State C Zip Code -J�, S-t <br /> Telephone 25 660 Fax# 2 99 0-ZUIN PO # <br /> Report To (r(yvOja4 11,k..E-mail Address rt- PKeA&'C' Z—QC Data OrLevel II (standard) ❑ Level III 0 Level IV <br /> Sampler j[ Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround 10-15 Working Days Q 72 Hours MANDATORY ANALYSES REQUESTED Please crovide meth <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Flours t' CWA(Waste Water) / <br /> El Working Days O 2-8 Hours ❑ RCRA(Hazardous Waste) (_1 <br /> 0 Other ,{ <br /> Comments/ <br /> Client Date i Time Matrix #of Containgr;;w 5equaia's <br /> Sample i D Sampled Desc I Cont T� e'—r v ' Sam le# Tem If required <br /> 065 <br /> vv�uJ• 2 p � z5 ti ao� .�lN�s � <br /> 2 <br /> 3 <br /> V V • �� � i� M � ..J JN:IP I � x ��w/ <br /> 5 y}� <br /> 1'' "V r Y/ <br /> x <br /> Vim+ •� 1!/ � ��V T -n iV+J wIP « �+V },fr� ! <br /> 7 <br /> +� r <br /> g <br /> 9 �,A I w G.i 'F t 1 4 ✓ Ak <br /> r ry m,cxy � yr ^ <br /> • 4E` e W ,4 <br /> 10 Y I i i <br /> Relinquished B eeeived-1 , ` ' Date 1 Time ZS f <br /> Relinquished By Received By Date 1 Time OLE <br /> sj Relinquished By ReceivedByr, F Date 1 Time <br /> Relinquished By Received By Date 1 Time <br /> Were Samples Received in Good Condition? Yes 0 No Samples on Ice? /_�I, Yes 0 No Method of Shipment Page_of <br /> i <br /> i White Sequoia Yellow Sequoia Pink Client <br />