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Co SEQUOIA ANALYTICAL y � � �. ._ ' � <br /> 707) 792-1865 <br /> 0 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954. • FAX (707) 792-0342 <br /> CHAIN OF CUSTODY 0155 Indust19 Striker rial R ade SaSacramento, <br /> Car Carlos, CA 5(650) 232)-9600 • FAX (650) 232-9612 921-9600& FAX (916) 921 1ao <br /> ❑404 N Wiget Lane•Walnut Creek, CA 94598•(925) 988-9600• FAX (925) 988-9673 <br /> Company Name 7 Protect `d QQ <br /> Mailing Addressb Billing Address (if different) <br /> City State Zip Code .s 3 <br /> Telephone fig• "3 j Fax# 7-4 3 &� / PO # U <br /> Report To E-Mail QC Data A4evel II (Standard) ❑ Level III ❑ Level IV <br /> Sampler , A k,Date/Time Results Required Sequoia's Work Order# IL <br /> Turnaround - 15 Working Days ❑ 72 Hours MANDATORY. ANALYSES REQUESTED (Please provide method) <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> Comments! <br /> Cher �remp Of required, <br /> Client DaWrime Matrix #of Containei Sequoia's <br /> Sample I D Sam led Desc Contpe Sample# <br /> 1 Ap- 1 �l <br /> Cr <br /> 2 �- L fV;7- <br /> 3 <br /> r o <br /> 4 <br /> 5 <br /> 6 <br /> ACr <br /> 7 y <br /> 1 1 <br /> tD <br /> 8 <br /> s <br /> 9 <br /> 10 <br /> Relinquished By S Q r Received By Date/Time //5-A/ <br /> Relinquished By Received By Date/Time <br /> Relinquished By Received By Date/Time <br /> Relinquished By Received By Date/Time <br /> Were Sample*Ived In Good Condition? ❑ Yes ❑ No Samples on Ice? Yes ❑ No Method of Shipment Page—04�_ <br /> M 11=1 = M = MIM M � =1 = = = = _ = I' <br />