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Hill, CA 95037 • (408) 776-9600* FAX (408) 782-6308 <br /> ❑ 1455 McDowell Blvd, Suite D. • Petaluma, CA 94954• (707)792-1865 • i= <br /> SEQUOX YTICAL p FAX 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (919)921-9600 • (707) 792-0AX 0 <br /> CHOF CUSTODY { <br /> © 1551 Industrial Road • San Carlos, CA 94070 • 650 232-9600 . (232-9612 <br /> 92?-0100 <br /> 0 404 N. Wiget Lame + Walnut Creek, CA 94598 • (92 5)988-9600 • FAX (92) 988-9673 <br /> Company Name: 0 Pro)ect: <br /> Mailing Address: 2c`70 C.' -S-c3a Billing Address (if different): <br /> City: G State: C Zip Coder <br /> Tele hone, 1q _ Fax#:a 16-(`7q-7-121cSC5 F'.0.#: <br /> 1 E-mail Address. �%, , ,w cc,,? C Data: eves 11 (standard) ❑ Level III ❑ Level IV <br /> Report To:�"G, ��v�p1;.1 rvt, �.- g�'''ar4 <br /> Sam ler: Date/Time Results Required: Sequoia's Work Order# <br /> Turnaround -15 Working Days ❑ 72 Hours MANDATORY: SES <br /> Time; (Standard TAT) ❑ 48 Hours 0 SDWA'(Drinking Water) T D f a3 e <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) 0� [ <br /> Cl 6 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous.Waste), ` G <br /> 0 other...: <br /> Client Date !Time Matrix #of Container ,: Sequoia'sL <br /> Sam le I.D. Sampled Desc, Cont. T`":e'.', Sample# Comments/ <br /> Tem At r ulnad <br /> 1�1✓liJ-&--'�'3'lz-sa �'`� �G ,r ��� ! ;SL.cicf <br /> O RC COMDr ION <br /> 4P Q <br /> 5.PI-10-9-1 <br /> 6. <br /> ti a ! is <br /> I 7, <br /> 10. <br /> Relinquished By <br /> Recsived Date/Time; <br /> Relinquished By: Received`8y: Date/Time: <br /> Relin uished B : Received By: <br /> Relinquished By: Received By. Date/Time: <br /> E Dake 1 Time: <br /> Were Samples Received in Good Condition? 0 Yes 0 No Samples on Ice? t] Yes ❑ No Method of Shipment: <br /> Page—of <br /> i White; Sequoia Yellow, Sequoia <br /> Pink;Client <br />