Laserfiche WebLink
aEQUOIA ANALYTICAL Zr680 Che 40ake Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (65 -9233 <br /> ❑819 Striker Ave., Suite 8 • Sacramento, CA 95834 • 916 921-9600 FAX 916 921-0100 <br /> WO CHAIN OF CUSTODY ❑404 N.Wiget Lane - Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> Company Name:/f7' � r 5, ' i'1,' , Project Name: I P <br /> Address: !l i ;.r, - .- ? �a, lc i�� Ls. 177-9 S'- 0ez)o <br /> "f� Billing Address (if different)- <br /> City: ffff.l� r, ��., State: �.� Zip Code:'•..? <br /> eleP hone:: r' f FAX #:r=: c,• _. f>" P.O. #: ;= <br /> v <br /> Report To: is r .,,.,, ij�,.. # _,.; Sam ler: "� f, . _ t� <br /> «w P .•+. --- ? QC Data: evel D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround U 10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested Y <br /> C <br /> Q <br /> Time: U 7 Working Days ❑2 Working Days U Waste Water <br /> ❑ 5 Working Days ❑24 Hours ❑ therm <br /> Client Date/Time Matrix # of Cont. Sequoia's Q, <br /> Sample I.D. Sampled Desc. Cont. Type. Sample # �"` ` Comments <br /> 1 ►..1=trftY leo t,,.. f ,.�• t i ' <br /> w �w <br /> 0 <br /> 2. :xy ..3 <br /> L� r 3 <br /> 4. <br /> 5. .. <br /> 6. <br /> 7. _ <br /> ti o <br /> 8. Cr <br /> CV <br /> U) <br /> 9. m <br /> Relinquished By: f.a� ; - _ � r Date: Time: Received B : f'` �-,��` - f_c� r% 01" <br /> r <br /> Y � k Date:r �l vTime: <br /> Relinquished By: Date: Time. Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: Time: <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? (D'Ve' ❑ No Method of Shipment Ceot)�u C 4'_ Page / of { <br />