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SEQUOIA ANALYTICAL ❑ 885 Jarvis Drive + Morgan Hill, CA 95037 + (408)776-9600 + FAX (408) 782-6308 <br /> 0 1455 N McDowell Blvd, Suite D + Petaluma, CA 94954 + (707)792-1865 + FAX (707)792-0342 <br /> CHAIN OF CUSTODY ;K 819 Striker Ave , Suite 8 +Sacramento, CA 95834+ (916) 921-9600 + FAX (916) 921-0100 <br /> ❑ 2430 Sprig Court, Suite G + Concord, CA 94520 + (925)356-3150 + FAX (925) 356-0109 <br /> Company Name Ell&A•w , Project U Aq v <br /> Marling Address 1Y3' u, -I,- <br /> jjIng= Billing Address (if different) <br /> City. Phowt 4 State Zip Code g?-5-oo3 <br /> Telephone 0 - -0" O Fax# 4o2- 2 -G g- PO # 001_ b p <br /> Report To s.r LA ( ll,,,f( E-mailAddress ,Ia�s��+^, r7 co+-� QC Data N-Level Il (standard) ❑ Level 111 ❑ Level IV <br /> Sampler S p,(h,tf Date I Time Results Required Sequoia's Work Order# <br /> Turnaround ', 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please Drovide method <br /> Time (Standard TAT) © 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Gays ❑ 24 Hours ❑ CWA(Waste Water) <br /> q 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) ��• <br /> 0 Other <br /> Client Date I Time Matrix #of Container Sequoia's v �,v� ��n� � Comments/ <br /> Sample I D Sampled Desc Cant T e Sample# Temp(If required) <br /> {�ppI /q" 6"11 Y t"O'DC7 t� f y.o Sad � x SS th —0 <br /> 2 P P 8- 3W66 e 16;DIZs , r r .--ox X <br /> 3 P P- '- ,SO 3 QG !�.is Sol ( X <br /> f ►3�+b er l x <br /> 4 POI" ° 3 ob e 10"s-0 S- 4 t-,0*5 -0 <br /> 5 QP9 -3-6 3 060- 11-7- S- X <br /> s DPI- CID o.c e 17-:/6 $- .v X k <br /> 7 <br /> s <br /> 9 <br /> 10 <br /> Relinquished by I Co .`� Received by 1 Co Date/Time/Temp p c r6 <br /> Relinquished by I Co Received by/Co Date 1 Time I Temp <br /> Relinquished by 1 Co Received by 1 Co Date I Time 1 Temp <br /> Relinquished by I Co Received by I Co Date 1 Time 1 Temp i <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page—of <br /> White Sequoia Yellow Sequoia Pink Client <br /> I <br />