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SEQUOIA ANALYTICAL <br /> w'NwAw��� � U 680 Chesapeake Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9233 <br /> AA J1i U 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY X404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> U 1455 McDowell Blvd. North, Suite D • Petaluma, CAN 94954 • (707) 792-1865 FAX (707)(707) 792-0342 <br /> Company Name:&&TTL E R - I LY TN �� C� Project Name:T�® CJ C.O l� � � l �3_.� I ® �-��® <br /> Mailing Address: (p `f� S i d`0. Billing Address (if different): <br /> City: 1/u B L1 P State: C Ft Zip Code:q 1+J(o% Tosco pFLo T F c1- M A p Ft1§tR- ; �E-�C `I°�1 Lc&- <br /> Telephone: a�5 j t -"1 4J �J Jy FAX #: 5 sl -- q 0 S O P.O. #: j a 0 o� W ESOT 14AMM E z LAN C. a <br /> Report To: H a I - K w® W-Sampler: Hh I G-- 1�C-V 0 CIC Data: Aevel D (Standard) ❑ Level C LlLevel B ❑ Level A v <br /> Anal ses Re uested <br /> Turnaround ❑ 10 Working Days O 3 Working Days U 2 -8 Hours U Drinking Water Y q a <br /> Time: D 7 Working Days ❑2 Working Days U Waste Water <br /> 00, <br /> � <br /> v � o <br /> 0 5 Working Days X24 Hours Other <br /> Client Date/Time Matrix # of Cont. Sequoia'ss Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> I F- 1 11® 99 � t i <br /> 0 <br /> CT <br /> 2. I W I 812091 1/ L/ �/ 1./ V <br /> 3 a 812.091 !� L"--- L/" 1,0000, 1/ 1/ V o <br /> 4. <br /> g�W ] 12091 v V L,***� r/ } <br /> 5 3 E 1 1812091,; t/ ✓ �/ t./ <br /> 6 3 7. I 8a�®�,�� v ✓ i✓ �/ <br /> m7-66Lou <br /> 8 aO "- U) <br /> 0,10, <br /> 9 t <br /> 10. <br /> I- I A A -1 11 11 <br /> Relinquished By: ate:, ® ime: Received By: _ D ime: <br /> Relinquished By: ime: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: lwa&5ate: ) Time: <br /> Were Samples Received in Good Condition? WYes U No Samples on Ice? Aes U No Method of Shipment Page—of_ <br />