Laserfiche WebLink
1♦ IPJa ivega , CA%%7• 77MO• 408 6301= l• � <br /> Z-wo <br /> OQUOIA ANALYTICAL 0 1455 McDowell 8 OrthSu to D • Petaluma, CA 94954• (707) 792-1865 • FAX (7092-0342 <br /> © 819 Striker Ave , Suite 8 • Sacramento, CA 95834• (916) 921-9600 • FAX (916) 921-0100 <br /> CHAIN OF CUSTODY 0 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 /7/y1p12U w GCCG Cd�ISU�T.4-v /f-/c' Project Z yZ <br /> Mailing Address Z U1� — =! C C 1� i_ Billing Address (if different) <br /> City rv�T_ (p C W StateZip Code G ��G��/� <br /> Telephone 6 s'oq Z _07--? Fax# G 5-0 2-9 -6)5-�i� PO # v <br /> Report To ,joH, ( 0 2vU,erb E-Mail QC Data ❑ Level II (Standard) ❑ Level III ❑ Level IV x <br /> G <br /> Sampler J U' Date/Time Results Required Sequoia's Work Order# CL <br /> Turnaround 10- 15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED (Please provide method) <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) ��'��.� M <br /> ❑ 5 Working Days ❑ 2 8 Hours ❑ RCRA(Hazardous Waste) �� � 1�/\ � �Q`' �/� Comments! <br /> X) Other Temp(if required) <br /> Client Date/Time Matrix # of Container Sequoia's <br /> Sample I D Sam led Desc I Cant _Type Sam le# ca <br /> G vi.44 ,/ ✓ ✓ ✓ <br /> i <br /> 3IV7W -- 3 Q <br /> 4 <br /> 5 <br /> ro <br /> 0 <br /> 6 <br /> C <br /> 7 U) <br /> 3 <br /> 9 <br />� � 1 <br /> Relinquished By 3y � � Date/Time <br /> �linquished By �� _ C, 3y IAJ Date/Time (Z97 <br /> quished By ly Date/Time?//Z— <br /> shed <br /> ate 1 Time/ /� <br /> (�, I� Liv - r q c� ct 5 <br /> shed By 3 y Date lTime <br /> 'eceived in Good CondttioO ❑ Yes 0 No Samples on Ice? ❑ Yes ❑ No Method of Shtpment Page o1 <br />