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SEQUOIA ANALYTICAL ❑ 885 Jarvis Drive + Morgan HILI, CA 95037 + (408)776-9600 + FAX (408) 782-6308 <br /> Ct_ <br /> CHAIN OF CUSTODY © "1455 N McDowell Blvd, Suite D + Petaluma, CA 94954+ (707)792-1865 • FAX(707) 792-0342 <br /> fk 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 n r,� Protect <br /> Mailing Address <br /> City State Zip Code Billing Address (if different) <br /> Telephone Fax# PD # <br /> Report To E-mail Address OC Data 0 Level 11 (standard) ❑ Level 111 ❑ Level IV <br /> Sampler Date/Time Results Required Sequoia's Work Order# <br /> Turnaround 10-15 Working Days ❑ 72 Hours MANDATORY -155 <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) ANALYSES REQtJESTED Please provide me od <br /> Ll 7 Working <br /> Days C124 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working 'y <br /> Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> ❑ Other I '4� <br /> C�� <7 <br /> Client Date 1 Time Matrix #of Container Sequoia's <br /> Sample I D Sampled Dose Cont T e Sample# W� Comments/ <br /> [cI� <br /> Tem If required <br /> � � k <br /> 3 <br /> 4 <br /> 5 <br /> 6 1__T <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Relinquished by 1 Co f Received by 1 Co Da mpof <br /> Relinquished by I Co Received by/Ca <br /> Date—/Time 1 Temp <br /> Relinquished by/Cc Received by/Co Date I Time I Temp <br /> Relinquished by/Co Received by/Co Date 1 T e Temp <br /> CEI e <br /> Were Samples Received in Good Condition? s ❑ No Samples on Ice? Yes El No Method of Shipment Page_�S_ofd <br /> White Sequoia Yellow- Sequoia Pinks Client <br />