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SEQUOIA ANALYTICAL Q 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 U 819 Striker Ave , Suite 8 + Sacramento, CA 95834 + (916)921-9600 • FAX (916) 921-0100 <br /> ❑ 2430 Sprig Court, Suite G o Concord, CA 94520 o (925)356-3150 + FAX (925) 356-0909 <br /> Company Name ro Project {,[- ! s-0 S cLli Ove C <br /> Mailing Address Billing Address (if different) <br /> City a�ytiX State Zip Code �Sna <br /> Telephone X02- -8 0 Fax# 60 2- . 4 p PO # <br /> Sow 0 <br /> ReportTo inn lt'at E-mail Address ( n,;, � ri _.,,,QC Data t2zLevel 11 (standard) © Level ill ❑ Level IV <br /> Sampler S-4eve- Lve.At,,41. Date I Time Results Required Sequoia's Work Order# <br /> Turnaround Dg� 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please orovide method <br /> Time (Standard TAT) ❑ 48!-fours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> ❑ Other • ti h. 0 a) <br /> Client Date 1 Time Matrix #of Container Sequoia's s, el s°y "� <br /> Sample I D Sampled Desc Cant T29 Sample# � q� �° �� Temp(If required) <br /> Z'+x 6 k <br /> 0) X X <br /> 3 AW PIC- 'IS' X k x <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 - <br /> 9 <br /> A <br /> 10 <br /> Relinquished by/Co Ae S. Received by 1 Co ' Date 1 Time/Temp is <br /> Relinquished by/Co Received by 1 Co Date 1 Time I Temp <br /> Relinquished by 1 Co Received by 1 Co Dale 1 Time 1 Temp <br /> Relinquished by l Co Received by 1 Co Date 1 Time/Temp <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ices ❑ Yes ❑ No Method of Shipment Page of <br /> White Sequoia Yellow Sequoia Pink Client <br />