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SEQUOIA ANALYTICAL ❑ 885 Jarvis Drive • Morgan Hill,CA,95037 + (408)776-9600 • FAX(408)782-6308 <br /> ❑ 1455 N. McDowell Blvd,Suite D. • Petaluma,CA 94954• (707)792-1865 • FAX(707)792-0342 <br /> GRAIN OF CUSTODY ❑ 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 /> Company Name: Q a e- _ 'a Project: <br /> Mailing Address: 5510 T c�_. it ma D(; Billing Address(if different): C <br /> City: State: 0,40- Zip Code: 2 p <br /> Telephone: - &137-- Fax# ryQ <br /> 2 P.O.#: <br /> Report To: D,�rnCtjLeW`S E-mail Address: DN./q + Data: El Level II (standard) ❑ Level III 13 Level IV <br /> Sampler:, vanei , 7:,Date/Time Results Required: Q Sequoia's Work Order# <br /> Turnaround 10-15 Working s 72 Hours MANDAT RY: ANALYSES REQUESTED Please provide method <br /> Time: (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days C3 24 HoursCWA(Waste Water) <br /> C3 5 Working Days ❑ 2-8 Hours C3 CRA(Haaard t Waste) <br /> 13 Other <br /> Client Date/Time Matrix #of Container Sequoia's Commentst <br /> Sample I.D. Sampled Desc. Cont. T —Sample# l+ll Tem .If required <br /> 6IR 1Z <br /> 1.G 33/5'6 APd iL p <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> Relinquished by/Co.: Received by/Co.: Date/Time/Temp.: Z 16-0IS T7 <br /> Relinquished by/Co. Received by/Co.: Date/Time/Temp.: ,• _L 'zwo <br /> Relinquished by/Co.: Received by/Co.: Date I Time/Temp.: <br /> LRelinqu.91shed by/Co.: Received by/Co.: Date/—Time <br /> _/Temp.: <br /> les Received in Good Condition? ,� Yes O No Samples on Ice? $i� Yes ® No Method of Shipment:_ I r r( Page_,ofj <br /> White: Sequoia Yellow: Sequoia Pink:Client <br />