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5 Jarvis'-Drive <br /> rgan <br /> 95037 (408) <br /> FAX <br /> SEQUOIA ANALYTICAL- <br /> 13 $�55 N. McDowell Blvd,SuitetlD�APetaEuma, CA 94954600 07 92 1086)5 8 FAX 7 07 792-0342 <br /> ( ) ( ) <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 /> -CompanyName: aha D rc i o s� Project: <br /> Mailing Address: $r u �( Billing Address(if different): — <br /> City: S57770CXTO n State: { Zip Code: S p 1p <br /> Telephone: Fax#: P.O.#: <br /> Report To: DQMjkj Le-W-C Email Address: Qtt10 rlew;s ' C Data: ❑ Level 11 (standard) ❑ Level IN ❑ Level 1V <br /> Sampler: `c- Date/Tune Results Required: Sequoia's Work Order# <br /> Turnaround AK 10-16 Working bly. ❑ 72 Hours MANDATORY: ANALYSES REQUESTED Please rovide method <br /> Time: (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> 0 7 Working Days ❑ 24 Hours ,�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# /ilft Temp.(Ifrequired) <br /> fo/A;L-07 ",%'m g <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.: (e9 <br /> Relinquished by/ Received by/Co.: &140& Date/Time/Temp.: Jv <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? Yes 13 No Method of Shipment: T Page--�-of� <br /> White: Sequoia Yellow: Sequoia Pink:Client <br />