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LI 885 Jarvis Drive + Morgan Hill, CA 95037 • (408)776-9600 • FAX (408) 782-6308 <br /> SEQUOIA ANALYTICAL © 1455 McDowell Blvd, Suite D + Petaluma, CA 94954• (707)792-1865 + FAX (707)792-0342 <br /> 819 Striker Ave , Suite 8 • Sacramento, CA 95834+ (916)921-9600 • FAX (916) 921-0100 <br /> a_ CHAIN OF CUSTODY 1551 Industrial Road • San Carlos, CA 94070 • (650)232-9600 • FAX (650) 232-9612 <br /> ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (925)988-9600 • FAX (925) 988-9673 <br /> Company Name ProjectupnTn <br /> Mailing Address Billing Address (if different) <br /> City TM State Zip Code <br /> Telephone Fax# 2& - 9 L7I P O # <br /> Report To E-mail Address QC Data PaLevel 11 (standard) ❑ Level 111 ❑ Level IV <br /> Sampler Tl FC Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround 0-15 Working Da ❑ 72 Hours MANDATORY, ANALYSES REQUESTED (Please vidmethod) <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(Hazard 1 <br /> ❑ Other <br /> i <br /> Client Date 1 Time Matrix #of Con a s Commentsl <br /> Sample I D Sampled Desc Cont Sam le# i Temp If required <br /> 1 L s ! til <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Relinquished By nJ jo / Date 1 Tim t0:'~ <br /> Relinquished By Receive Date 1 Time <br /> Relinquished By Received By Date 1 Time <br /> Relinquished By Received By Date 1 Time <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page of <br /> White Sequoia Yelleuoia Pink.Client • <br /> � I� � ® l� � lr I� � � � �I■ ■■I s 1�1 wit �■ � � <br />