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Q SEQUOIA ANALYTICAL 660 Chesapeake Drive• Redwood City.CA 94063•(415) 369-9Wu rru y41a)aan-nco <br /> 819 West Striker Ave. • Sacramento,CA 95634 •(916)921-9600 FAX(916)921-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM•Concord,CA 94520-(5101686-9600 FAX(510)686-9689 <br /> Company Name: Project Name: <br /> Address: © j lD Billing Address{ f different): y <br /> V <br /> ostate: i' Zip Cods: 27 <br /> Croy. f� <br /> Telephone: �i FAX 4): <br /> U <br /> Z ' CC Data: Level A SBu"r J Level B ❑ Level C ❑Level D y <br /> 9e rl To: ywf—' c Sam er. �— c <br /> y ses Requested <br /> f <br /> =r round 10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water <br /> Time: ❑7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> � . <br /> ❑ 5 Working Days ❑24 Hours 4 Other �UsC <br /> �" <br /> Clierk Datelnme Matrix oto# nt. Sequoia's �� Comments <br /> Sampie I.D. Sampled Desc. Cont. Type Sample# I <br /> Z3 Vivo v o4 <br /> t.1w MrKa'e� III 11M (D.-N iN JL JL <br /> 579 N <br /> r 4.�1A7f,�i.7C=dCl{g.. ,. :r - �J i 7 i <br /> s *'dip.. - fit'' <br /> y 5 iCSRtatSG � $ j 1 <br /> is <br /> Mtoe <br /> N r'arlf RQvl4 Yl11�)l ¢� y "� 55 1. > y�•�� <br /> 7. Y:>. arcyrl <br /> 0 6. 't=�PrX4^'�'Rci�O`nF � � ���� �>*� ., `yE -J-1'T�Y/JI��.J• <br /> m 10 l[�A ` Izv9tt5 ll lti V\/ I Ytun vont1 <br /> Relinquished 8y: <br /> Date: i R Time:19S� ReceivedgY: Date:�l ima:(�;SS <br /> Relinquished By: <br /> Date: Time'. Received By Date, ]me: <br /> RelinquishedB yt <br /> D <br /> Tom; Received B Lab: Date: me: <br /> Were Samples Received in Good CondRion'PAYes❑No Samples on lee? XYas U Pio Method of Shipment—n ?age of t <br />