Laserfiche WebLink
SEQUOIA ANALYTICAL U 680 Chesapeake Drive • Redwood City, CA 94063• (650) 364-9600 FAX (650) 364-9233 <br /> ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY x(404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673. <br /> U 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: G'ETTI—F—R y- FL�R N l C , Project Name:TO SIC ` 1 t <br /> Mailing Address: (q S l L°.i"t`4` C+ d Sul Ce— Billing Address (if different): <br /> City: D UBL 1 N State: (' Zip Code: 1 S6 'TbC3e0 FRO TECT MRN CES : D�v� cfiMtlL� <br /> Telephone: 9�L 5 5 5 i — 11555 FAX #: 55 — q889 P.O.#: 3 al® a WEST RR's`u1 V—:: R <br /> Report To: tj�tC7 1{>�Voftl Sampler: HP 1 1�&V0 QC Data: Revel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Turnaround ❑ 10 Working Days U 3 Working Days U 2 -8 Hours U Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days U 2 Working Days U Waste Water 4 /� <br /> ❑ 5 Working Days X24 Hours Other <br /> Client Date/Time Matrix # of Cont. Sequoia's 4 Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> CompA JP,/1i/9gSwL 431,ZrO95.11, V" <br /> TU 0 <br /> 3 COC 4 o <br /> 4. <br /> 8 V t� Vol' <br /> 5 Cowl <br /> 6. <br /> 7. o <br /> a' <br /> N <br /> 8. to <br /> 9. <br /> 10. <br /> Relinquished By: i ' ' ate: ime: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: . Date: 1 Time: t( <br /> Were Samples Received in Good Condition? Kes U No Samples on Ice? es U No Method of Shipment Page—of— <br />