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Ll 885 Jarvis Drive • Morgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> 19 Striker Ave., Suite 8 - Sacramnto, CA 9534 - (916) FAX (916) <br /> SEQUOIA ANALYTICAL Wu-8404 N.Wiget Lane *Walnut Cr eke CA 945988 (925) 988-9600921-9600 <br /> 88 96006FAX (25) 988-9673921-0100 <br /> LA 1455'a/ CHAIN OF CUSTODY J 1551 Indust all Road Blvd. -San Carlos, CA 94070 a(6 0) 232-9600 FAX (650) 232-9612 7) 792-0342 <br /> Company Name: ,$�/ _��C/ C Q�OL(� Project Name: <br /> Mailing Address: //OZ- W/N014�7/ez-p Gt/gcf SGj7rr- / Billing Address (if different): U/ <br /> City: FL jx jf)p /4/ty{State: , A Zip Code:9S-7,5�2 G/ VaC,4Z �S-•17Z:— <br /> Telephone: �/�—G�33 _ c f(off FAX #: P.O.#: <br /> Report To: t,/O f f/,/ / t�P Sampler: 01-1-AJ j�:jpp QC Data: J Level D (Standard 0 Level C ❑ Level B O Level A v <br /> s <br /> Turnaround U 10 Working Days Working Days U 2 - 8 Hours U Drinking Water °�" Analyses Requested <br /> Ott a <br /> Time: U 7 Working Days pyµyTWorking Days U Waste Water ��G ' LQ • <br /> U 5 Working Days U 24 Hours - Other <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample # Comments <br /> 2- L in <br /> 3. <br /> N4. <br /> G '� eTj <br /> hu he !n1 dci� <br /> 5- <br /> 6. u0 <br /> - - 0 <br /> 7 �a'rs/ ro <br /> Or <br /> 8. <br /> N <br /> a� <br /> 9. <br /> 10. <br /> Relinquished By: Dater a/ Time: 169-s:— Received By: Date: OSI/d( Time16. a 5 <br /> Relinquished By: Date: ll Time: Received By: Date:C Time: <br /> Relinquished By: Date: J� Time: U 1�< Received B lite: )���� Time: <br /> ,,,.,,i" n—,,j....I i., fili"n? yv� .i NO Samnies on Ine? 2LYes U No Method of Shipment 4XV/ ') Page 41 <br />