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SEQUOIA A �.�YT IC1� El 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 /> CHAIN 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: &_ a Project: <br /> Mailing Address: SS <br /> D '�( Billing Address(if different): --- <br /> City: State: 0-;j Zip Code: $ <br /> Telephone: $_ 13Z Fax#: 'Z8 -(®/ Z P.O.#: <br /> Report To: yrjp _e&V;!; E-mail Address: Data: El Level 11 (standard) ❑ Level 111 13 Level IV <br /> Sampler: Date/Time Results Required: j' 07 Ofqo!j^ <br /> I Sequoia's Work Order# Q <br /> Turnaround 10-15 Workin ays ❑ 72 Hours MANDATORY: ANALYSES REQUESTED Please Provide method <br /> Time: (Standard TAT) ❑ 48 Hours ❑ SOWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours X CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> ❑ Other <br /> Client Date/Time Matrix #of Container Sequoia's Comments! <br /> Sample I.D. Sampled Desc. Cont. Type Sample Temp.(Ifrequired) <br /> G# D7 <br /> 1. ls53155 N X x <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.: 40"5-0 7 <br /> Relinquished by/Co.: Received by/Co.: Date/Time/Temp.: 10c,7 �2J <br /> Relinquished by/Co.: Received by/Co.: Date/Time/Temp.: <br /> Relinquished by/Co.: Received by/Co.: Date/Time/Temp.: <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? )q Yes ❑ No Method of Shipment: M3L- Page___j_of� <br /> White: Sequoia Yellow: Sequoia Pink:Client <br />