Laserfiche WebLink
SEQUOIA ANALYTICAL <br />fli0 CHAIN OF CUSTODY <br />Analyses R uestedi <br />Client <br />Sample1.D. <br />. ..... O. <br />CI 680 Chesapeake Drive • Redwood City, CA 94063 • (416) 364-9600 FAX (415) 384-9233 <br />xi 819 Striker Ave., Suite 0 • Sacramento, CA 95834 • (916) 921-9600 FAX (91e) 921-0100 <br />U 404 N. Wiget Lane • Walnut Creek, CA 94695 • (510) 988-9600 FAX (510) 988-9673 <br />Company Name: C • j ,g rc <br />Address' <br />fin-J‘triticrot..troP4 Prc4eal Name: <br />i to 2LI Oaten __ Su `'it 2 0 t- Billing Address ( If different): <br />C City: 61,...( ro- re Sista Zip Code: is-gz? 410 : Cti‘ <br />I T <br /> ele ph one: (DO 3C2. -7/00 4 FAX 0:(//0 VL-1/00 r.O. et R 14-/6 —o(2....-foo <br />. A Report To Att., Kie.;.-) Sampler. Pcfc_r- (kri eet OC Data: UP Level D (standard) 0 Level C 01.evel B Cl evet 86, TO ackl Turnaround *10 Working Days 03 Working Days 0 2 - 8 Hours <br />Time: Cl 7 Working Days CI 2 Worldng Days <br />5 Worldng Days 0 24 Hours <br />0 Drinking Water <br />Cl Waste Water <br />XI Other <br />Matrix 0 of Cont. <br />Dew, Cont. Type <br />DaterTirne <br />Sampled <br />//3/s8 <br />VC" t <br />J2 ,j <br />Spa sta,. <br />oaLfr <br />flea ke <br />Relinquished By: /---?., Dale: A a T : <br />. <br />eceivecl Dafe3Akets.11ine: <br />1 <br />: <br />."2„ 6 - . 1 <br />RelinquIstied By: / 4.r4s) ,- -• , '7A' :TI , Received By: <br />Relinquished : , i <br />'it . -1 /lie' Time: Os° Received Sy DO I& 'Time; ita co <br />Were Samples Received in Good Condition? 0 Yes CI No Samples on Ice? CI Yes CI No Method of Shipment ^ Page,