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CDEQUOIA ANALYTICAL Ll 680 Chesapeake Drive • Redwood City, CA 94063• (650) 364-9600 FAX (650) 364-9233 <br /> S U 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> ` (404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> CHAIN OF CUSTODY <br /> LJ 1455 McDowell Blvd.North, Suite D • Petaluma, CA 94954 • (707) 7922-1865 FAX (707) 792-0342 <br /> Company Name: ((��``-�` "'�`� L: ` ('_ , Project Name: To Sc_o 1'l 4TV0*, T_90_ <br /> 95 +t Billing Address (if different): <br /> Mailing Address: �j QJj�S <br /> FA` <br /> " <br /> State: Q � ZipCode: It'5 TSMiKO'SECT M ��" V6- C <br /> _ <br /> city Lk 1 P.O. #: 1,3 q ® t � 15 <br /> T <br /> Telephone* 915.5 _at ` <br /> U <br /> Report To: �� �I � Sampler: '& ' OR OC Data: Level D (Standard) El Level C —❑ C3Level B Level A Y <br /> Analses Requested n <br /> Turnaround Cl Anay 10 Working Days U 3 Working Days U 2 - 8 Hours U Drinking Water <br /> Time: U 7 Working Days U 2 Working Days U Waste Water <br /> U 5 Working Days )(24 Hours `Other e <br /> Client Date/Time Matrix # of Cont. Sequoia's Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> 1. COm _P 1 -A S®1L <812186 41114 L� <br /> 2.. 3 <br /> 3. i <br /> 4. <br /> 5. <br /> 6. �. <br /> c <br /> 7. c <br /> Q <br /> U, <br /> 8. a <br /> r <br /> 9. <br /> 10. <br /> y: <br /> ate:' me: Received By: Date: Time: <br /> Relinquished B <br /> Date: Ti Received By: Date: Time: <br /> Relinquished By: <br /> Date: Time: Received By Lab: �/ Date: <br /> Relinquished By: Time: 1� <br /> Were Samples Received in Good Condition? �(es U No Samples on Ice? es U No Method of Shipment — Page_of <br /> _ <br />