Laserfiche WebLink
I� /I���\ <br /> /_ _� SEQUOIA ANALYTICAL ❑ 885 Jarvis Drive • Morgan Hill, CA 95037 • (408)776-9600 • FAX (408) 782-6308 <br /> r1i/'� ❑ 1455 N. McDowell Blvd, Suite D. • Petaluma, CA 94954• (707)792-1865 • FAX (707) 792-0342 <br /> CHAIN OF CUSTODY ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834• (916)921-9600 • FAX (916)921-0100 <br /> ❑ 404 N. Wiget Lane • Walnut Creek, CA 94598 • (925)988-9600 • FAX(925) 988-9673 <br /> Company Name: grJA go Project: M -rc r+ <br /> Mailing Address: A886 u a.. 3 Billing Address (if different): <br /> City: �, State: Co, Zip Code: -7 <br /> Telephone: 0 9 935'-06/'0 Fax#: o – O P.O. #: 594 3. S. 00 1. O 3 <br /> Report To: G t G E-mail Ad ress: 4jen5tnMtn <br /> QC Data: Level II (standard) ❑ Level III ❑ Level IV <br /> Sampler: jAc. CpAwVQpVDate/Time Results Required: Sequoia's Work Order# p$ ZZ <br /> Turnaround Of 10-15 Working Days ❑ 72 Hours MANDATORY: ANALYSES REQUESTED Please rovide method <br /> Time: (Standard TAT) ❑ 48 Hours W SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours Cl RCRA(Hazardous Waste) <br /> g <br /> ❑ Other a <br /> Client Date/Time Matrix #of Container Sequoia's Ch Comments/ <br /> Sample I.D. Sampled Desc. Cont. Type Sample# Q �� Temp. If required) <br /> 9/10%N Ie=p J- H ,0 h (1oa5 x <br /> — o <br /> 2. /o-4S HiO I goo L X <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> Relinquished by/Co.: Received by/C Date/Time/Temp.: to t <br /> Relinquished by/Co.: Received by/Co.: S Date/Time/Temp.: !3 41 <br /> Relinquished by/Co.: Received by/Co.: Date/Time/Temp.: <br /> Relinquished by/Co.: Received by/Co.: Date/Time/Temp.: <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? Yes ❑ No Method of Shipment: Page--�-of_L <br /> White: Sequoia / Ye/flow: Sequoia Pink:Client <br />