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❑ 885 Jarvis Drive•�gan Hill, CA 95037• (408) 776-9600• FAX (408) 782-6308 <br /> 91QUOIA ANALYTICAL ❑ 1455 McDowell B orth, Suite D• Petaluma, CA 94954• (707) 792-1865 • FAX (7 92-0342 i <br /> 14819 Striker Ave , Suite 8•Sacramento, CA 95834• (916) 921-9600 • FAX (916) 921-0100 <br /> � CHAIN OF CUSTODY 0 1551❑ 404 Nlndustrial Wiget LanRoad <br /> �WSon <br /> nut Creek, CA 94598•((92b232-9600 FAX ( <br /> 650) 232-9612 <br /> ) 988 9600 FAX (925) 988-9673 <br /> Company Name7` ['©/ Project .� t f SC's-D j <br /> Mailing Address ji. fw f (47" QjV4 Billing Address (rf different) <br /> City !j'r)r, r M e^`� State (� Zip Code �S <br /> C <br /> Telephone (� - Z�•3� Fax# %. - 3 i g-(f PO # m <br /> U <br /> Report To �,,` ( Q n E-Mail OC Data evel II (Standard) ❑ Level III ❑ Level IV <br /> c <br /> Sampler �� w "`, l-T- Date 1 Time Results Required Sequoia's Work Order# a <br /> Turnaround *10- 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 /> Other Temp of regwredl <br /> Client Date/1-Ime <br /> Matrix #of Container Sequoia's <br /> Sample I D Sampled Desc Cant Type Sample # <br /> 1 I-A /cLV/ 0 0 fi-f*� i 1�� Z <br /> Cr <br /> 2 I �S� Ar <br /> 3 3 <br /> 0 <br /> 4 } <br /> 5 <br /> Ca <br /> 6 ° <br /> Cr <br /> 7 cn <br /> 8 d <br /> 9 <br /> 10 <br /> Relinquished By - ( f Received B q� � r� Date 1 Time <br /> Relinquished By Received By Date 1 Time <br /> Relinquished By Received By Date/Time <br /> Relinquished By Received By Date/Time AdhL <br /> Were Samples ived In Good Condition? ❑ Yes ❑ No Samples on Ice? Yes ❑ No Method of Shipment Page o <br /> = M an M = M r M r M M M � ti <br />