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i 51!�85 Im DrW_ orJ"Ill, CW0370"8) 7"00 •" (40"2-6 <br /> SEQUOIA ANALYTICAL ❑ 819 Stryker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921- <br /> 131404 N Wlget Lane • Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 9BB-9673 <br /> U 1455 McDowell (Blvd North Surae D Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> CHAIN OF CUSTODY <br /> iJ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name /A-TL (,�� Protect Name V-,S40 e <br /> , <br /> Mailing Address I1 t1 lc���c [������, �� z S [.� Billing Address (if dilferent) �O 700 Z <br /> City tV%')J-�e J o State Zip Code 7S3 S ! <br /> Telephone --d--f �� � zzz -- FAX 11 PO ft y <br /> �^ �-� QC Data Level D Standard U Level C U Level B U Level A U <br /> Report To ���.,c t 4-��is y Sampler 1 o (Standard) <br /> Turnaround 10 Working Days U 3 Working Days 1-12 8 Hours U Drinking Water Analyses Requested I C: <br /> d <br /> Time U 7 Working Days U 2 Working Days U Waste Water <br /> U 5 Working Days U 24 Hours V01her <br /> Client Date/Time Matrix it of Cont Sequoia's Q �Q`' . -V Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 7 L� ����c Lf V40—I4,a '5 <br /> 1 K"i R -5 f3 7-b-- W 9 11-0 z t L A-14 l i jti T <br /> 401A6 .1 1 O <br /> l7 <br /> 2 �112`S� v� 11 Od <br /> a� <br /> 3 Kff{�Sg�a- 'J 13' ���� � t o <br /> it 40---% 1 m <br /> 4 V-1R `S33t � L1- L4tL6-,,, <br /> 5 7- <br /> 6 — <br /> c� <br /> 7 Q <br /> CT <br /> 8 — — — --- -- — - m <br /> m <br /> 9 — __— —_ iE <br /> 10 <br /> Relinquished By � �.�-- Date 7 23y Time y 3S Received By Date 23 Time <br /> quished By Date Time Received By J Date l3 Ll� Time 1 f v <br /> By Date Time Received *V&JL Date Time <br /> Good Condition? U Yes U No Samples on Ice? U Yes J No Melhod of Shipment _____— Page Z—of Z— <br />