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u bu0 Chesapeake unve • meaw000 UILY, CA a,+u63 • toou) 36,+-av00 FMA 1650) ov+-923o <br /> ID SEQUOIA ANALYTICAL ❑ 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 /> v CHAIN OF CUSTODY ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name: `� �n�P� fair Project Name: <br /> 0 i <br /> Mailing Address: Billing Address (if different): q - <br /> p k( /City: U State: <� Zip Code: — v ( <br /> 114k 11�11 r. Q <br /> * • t <br /> Telephone: ` ,j �,U -7�� C/ FAX #:( (L3_ n P.O. #: J m <br /> Report To: ler: OC Data: LJ SampLevel II (Standard) ❑ Chromatograms ❑ Level III 0 Level IV U <br /> C D /k <br /> Y <br /> Turnaround Standard ❑ 7 Working Days ❑2 Working s ❑ Drinking Water Analyses Requested <br /> 10-15 �-' r <br /> Time: Working Days X 5 Worki�g 4s LJ1 Working Day LJ Waste Water <br /> ❑3 Working Days ❑ASAP *Other \ <br /> Client Date/Time Matrix # of Cont. Sequoia's �� �� \ •! <br /> Comments <br /> Sample I.D. Sampled Desc. Cont. Type2DI le <br /> I °' 056�80 X La <br /> 0 <br /> q 5©'A m <br /> 3. `P � r I ` ' r /\ o <br /> 4. c� - �- ' > 1 /, �� 7W, <br /> } <br /> La <br /> 7. o <br /> Cr <br /> U) <br /> m <br /> 9. <br /> 10. <br /> Relinquished By:__,�i Date:_/y Time: Received By: Date: Ti iP_ <br /> Relinquished By: Date: -Received By: Date: Time: <br /> Relinquished By: ::����Date: Time: Received By Lab: Date; Time: D <br />