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j SEQUOIA Redwood city: ca�► <br /> Mobs Chain of CustodyCord: (S1 ANALYTICAL Sacramento: (916)921.96 <br /> Consulting Firm Name. ill�o., &easclwL•.c Q Site SS# 10- N P4 Phase of Work: <br /> ❑ A Emrg Response <br /> Address 000 8���'t�' -�. Mobil Site Address Z-37s -t c <br /> ❑ B Site Assessment <br /> State, ►4 5Z v Mobil Engineer E•{ tic•�1" <br /> ❑ C Remediation <br /> Tele hone FAX# s10-(o42-e1"LI Consultant Project# 3o-c>Jq o - 0 s ❑ D Monitoring <br /> Proect Contact 't-,.;dl;6 Gam+ S a mp led b -t�!� Sequoia's Work Order Release# ❑ E OGCICiaims <br />� <br /> Turnaround Time )91Standard TAT(5- 10 Working Days) Anal ses Re uested <br /> ❑ OtherOA <br /> Client Date/Time Matrix #of Sequoia's <br /> Sample I D. Sampled Description Containers Sample# �Q� �Q �Q O�QP Comments <br /> Flo\. <br /> 2 AMU-s b-4► z oa <br /> i <br /> 4 to S•RP-W.4.4, <br /> f�f <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 1a <br /> Relinquished B 4 Date Tlme ` 00 Received B Date rr i J Time <br /> Relinquished B Date N ► 91 Time 1 �� Received By 1��'�`' r Date Time <br /> R It i h Bj� D % •�'/ TI 5�L-f /� Received B ' I D /ITi <br /> Method of Shipment / Page of <br />