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❑ 680 Ches ,eake Drive- Redwood City, CA 94063- (415) 364-9600 FAX(41 4-9233 <br /> SEQUOIA ANALYTICAL 4 819 West Striker Ave -Sacramento, CA 956'14 - (916)921-9600 1 AX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1900 Bates Ave , Suite t-M - Concord, CA 94520 -(510) 686-9600 FAX (510) 686-9669 <br /> Company Name "QL40 Ut R.c1qw,jr1F!jL- Project Name 3vS S r f�rrt.fy S <br /> Address 32.31' SU SIC 19LdD S (a Billing Address( 6 different) Am� <br /> _ City RM O-Jo c oje.WA State GA zip Code 1?s7 y2 <br /> c <br /> _ <br /> PR�eM_ <br /> hone SZ_ FAX# �Sz - 1132. P O # 59dJ3vrt To QIP-440410 wkt L5 Sam ler STCJC 6tt"OFr L4) 10C Data N Level A(standard) ❑ Level B ❑ Level C ❑ Level D <br /> Turnaround ❑ 10 Working Days ❑ 3 Working Days ❑ 2-$ Hours ❑ Drinking Water Anal ses Requested - a <br /> Time. ❑ 7 Working,Days ❑ 2 Working Days Waste Water - <br /> - 5 Working Days ❑ 24 Hours ❑ Other \�e� <br /> Client Daterrime Matnx #of Cont Sequoia's <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample# <br /> i° <br /> U15' cy <br /> 11-30 -,?y m <br /> 11-30-111 /0 <br /> l-3 0-111 � /0 � x o <br /> 3 W - I D <br /> 4 �Lt k/ /o U r <br /> X X <br /> j C3 X �C 7C <br /> 5 PA V- 5 ! o a til <br /> 6 <br /> VCA t <br /> 7 0 <br /> s <br /> m <br /> 8 <br /> m <br /> 9 �I <br /> 10 <br /> Relinquished By Date .34 Time /7p Received By <br /> Date 0-3c,M ime Jhoc <br /> "C 0 c trugAP&IDate Time Received ByUDate 2 r -rime zS�� <br /> Relinquished By 4 <br /> �/� <br /> Relinquished B G c. - Date Z I �t Time SKJ Received B Lata w Date <br /> Were Samples Recejd to-Good Condition?6 Yes LI No Samples on ice? &Ies LJ No Method of Shipment S�(� Q/ � - Page_of— a <br />