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Li oau LnesapeaKe unve • meowooa U[y, UA `J4UW • (bbU) Jb4-VbUU t -AA (b5U) Jb4-y2JJ <br />g Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br />SEQUOIA ANALYTICAL <br />L ❑ 404 N. Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br />CHAD OF CUSTODY C)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: <br />Dat v <br />Time: 10-15 5 Working Days CJ1 Working Day <br />Working Days <br />Project Name: -_ <br />Mailing Address: <br />Q <br />r�� <br />Billing Address (if different): <br />City: <br />State: CdA Zip Codes <br />Time: <br />Telephone: <br />��� � <br />-�j� FAX #:`7 16,— ! . 1 2 <br />P.O. #: <br />Report To: <br />5 <br />Sampler: S� <br />QC Data: vel II (Standard) ❑ Chromatograms ❑ Level III ❑ Level IV <br />Turnaround ❑ Standard ❑ 7 Working Days ❑ 2 Working Days ❑ Drinking Water Analyses Requested <br />Dat v <br />Time: 10-15 5 Working Days CJ1 Working Day <br />Working Days <br />ClWaste Water <br />Date: <br />/ ❑ 3 Working Days <br />❑ ASAP <br />❑ Other <br />Received By: <br />Date: <br />Time: <br />Relinquished By: <br />Date: <br />Client Date/Time Matrix <br />Sample I. D. Sampled Desc. <br /># of Cont. <br />Cont. Type <br />Sequoia's <br />Sample # P <br />Comments <br />ry— <br />)v <br />, <br />5 Cl <br />2. — f � s <br />/t/., A9 "�G <br />14 Q <br />I <br />la—� <br />�— <br />7. <br />8. <br />9. <br />10. <br />Relinquished By: <br />Relinquished By: <br />Dat v <br />Time/,D!30 <br />Received By: <br />Date: <br />Time: <br />Date: <br />Time: <br />Received By: <br />Date: <br />Time: <br />Relinquished By: <br />Date: <br />Time: <br />Received By L LA�ate-1 <br />�(� <br />Time: <br />Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes Cl No Method of Shipment Pace of <br />