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Mcf6il ChainCustody * SEQUOIA Redwood City: *5)364-9M <br /> of Coro: 5,ANALYTICAL ( o)6t�.9ss�o <br /> Sacramento: (9,6)92,-9600 <br /> Consulting Firm Name: ,44 7W c749,sel <br /> ,�,,,,e Site SS#: p 3Y3 Phase of Work: <br /> Address: ,q 1 ivy ' — G,y ❑ A. Emrg. Response <br /> Mobil Site Address: S7J0 ,E, G' �„�,F <br /> CRY- <br /> �.� f f: 9 Sa M bil E ineer: Si i.✓� �,¢a, Site Assessment <br /> ❑ C. Remediation <br /> Tete hone: 57o) Cob --Qis o FAX#; Consultant Pro'ect#: 3o - 3L C] D. M <br /> oralorirg <br /> Project Contact: �o,/ [Sampl!jb - <br /> Seuoia's Work Order Release#: O E. OGG/C ' <br /> 11 <br /> Turnaround e: Standard TAT{5 - 10 Working Days} Ana ses R ested <br /> TimC-N <br /> ❑ Other <br /> Client DateTme I Matrix #of Se uoia's <br /> Sample I.D. Sampled Description Containers Sample# �Q� �Q� QP OQP Commen<s <br /> 1.Sd�-1 �. $`' <br /> 2,53-7 <br /> 3B-� <br /> 4sa-�Q �yEs <br /> 5.s-677(4 4-b <br /> A/0 4_6 <br /> Ies-yo 0 v 1V -11cf-I X <br /> Relinquished By:. `� Time: <br /> Date:S AA%- <br /> Dater Received B Time: <br /> Relinquished By: Date: t] �/� ��� <br /> I Time: ,Z T"5 Received B affit Date. /7/f <br /> glimulshedB : If aA <br /> Dt <br /> Time: Received i3 Date:Method of Shipment_ Ti <br />