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� <br /> 680 Chesapeake Drive • Redwood City CA 94063 • (415) 364-9600 FAX (415) 364 <br /> SEQUOIA ANALYTICAL -9233 <br /> {.`�j.� 819 West Striker Ave. • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> SII/ CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (510) 686-9689 <br /> Company Name: Y Project Name: <br /> Address: O;i <br /> " Billing Address ( H different): <br /> l) CI r 1e <br /> ity: Ci, . State: (� Zip Code: t' :7 <br /> CRY: c <br /> 111 a cls y/1 m <br /> FAX#: 1)f�' ;, P.O.#: 6 Sib -)l <br /> Telephone: ., b Liz/43 <br /> _ �=_ OC Data: Level A(Standard) ❑ Level B ❑ Level C ❑ Level D Y <br /> Re rt To: ri;v re Fe l i Sam ler. v c <br /> Turnaround 1A 10 Working Days ❑ 3 Working Days ❑ 2 -8 Hours ❑ Drinking Water lAnalvses Request a <br /> Time: ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours Other % e <br /> Client Date/Time Matrix #of Cont. Sequoi7y" <br /> qc �� Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample <br /> 'I, 0c ,� S3110573 � <br /> 1.ka('Ki3N,rtc,CA IIIlzkl) 10. u N JL L <br /> 5 79 <br /> nlltlrb VQVR- <br /> 2. <br /> - <br /> x <br /> 2.,UN kc;: 15 14.67 l <br /> the X X a> <br /> = t 6-ru ' <br /> ,ll�l IN.fi 5 1 wiz <br /> a.K�r:x ,3 ti��fcI iz,t'• 57 7 <br /> 5. <br /> 6. ((l,�Xc,hN ace Df' tt�l1 (kj 13' S 1 v <br /> 1 579 <br /> 7. kJ!s><41t+_IC tyt� 11(IL(43 (t�'p 1 Fc'r. X X <br /> r, rJ CJ�7 <br /> 15.e;> vel ,_ � U <br /> 1�.n1 <br /> I <br /> 9. v rvr t t <br /> VJ voi(A 3 <br /> 1o.tuA-n9��olzo9r6 ' 11 (0 0.� voU <br /> Relinquished By: y 'v�_ (c¢ Date: (( fZ Time: Received By: Date:// / / rime: I9 <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: Time: <br /> 4n Page of _ <br /> Were Samples Received in Good Condition? Yes Ll No Samples on Ice? )-Yes LlNo Method of Shipment (� <br />