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SEQUOIA, ANALYTICAL iJ 685 Jervis Dnve * Morgan Hill,CA 95037 • (408)776-9600 * FAX (408)782-6308 <br /> i:D0 1405 McDowell Blvd, Sudo D * Potalulna, CA 94954#. (707)792-1885 + FAX (707) 792-0342 <br /> CHAIN OF CUSTODY U 819 Slnkor Ave, suite 8 * Sacramento, GA 95834 ► (916)921-9600 * FAX(815)971-0100 <br /> U 404 N 4Wiget Lane * Walnut Creek, CA 94598+ (925)988.9600 • FAX (925)9118-9673 <br /> Company Mame .�,� _ �►sn-S Pro)t:cl ",t j,.a•. .,►n tq <br /> balling Addross 1 s .ti< ��,� -} 2yi 7- Billing Address(if different) <br /> City •ta Sfate (A Zip Code 9 <br /> Telephone Y`7r c+o Fax# 31,1 C- 0 V.F 41.61 P O # <br /> Roport To, ?Sz[ ✓, E-mail Address T,,yf[w Lr r.� , r�? �OC Data V Level II (standard) ❑ Level III El Level IV <br /> Sampler L v , r Al I -i~r Date i Time Rasults Required `" '� Sequoia's Worts Order# <br /> Tumaround 10-15 Working Days ❑ 72 Hours MANDATORY- ANALYSES REQUESTED Please Droyide method <br /> Time (Standard TAT) 0 48 Rom ❑ SDWA(DrTnking Water) <br /> O 7 Working Days iJ 24 t-(aers U CWA(Waste Watery .+ � <br /> ❑ 5 Worldns Days U 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> a Other <br /> Client Dato I Timo Matrix #of Container Sequoia'sComments) <br /> sample 10 Sampled Dow. Coni Typo Sample# � Tend If r uTmd <br /> 1 i3 a*- 1 6w 3Q�l�vs �-� <br /> 2 YAM 1 114 A> 'iw> <br /> 3 ' fLA) S - <br /> 4 NI - •�3 � 115; x, COW <br /> s i4v3h. • q cV D a <br /> AAA I I 4 -obW p <br /> 10 mw <br /> Relinquished by I Co Reeenresi byl Co 14,x„Data I Tima I Temp i ( J <br /> Relinquished by I Co r Received by I Co date I Time I Temp r .� }c • <br /> Rellnqufshed by I Go- Received by I Co Data I Time I Temp ! r 0-. <br /> Rol Inqu ishod byl CO Racatved by I Co Dais I Time I Temp 4 <br /> Wcm Samplos Received m Goad Canditinn? J0 Yes 0 leo Samples on Ica-790 Y4s 0 No Method of Shipment Page—of <br /> 1 i � <br /> Whge Sequola Y 11' Sequela Rrnk.Clrent <br />