Laserfiche WebLink
j SEQUOIA ANALYTICAL 'X819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br />U 404 N. Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br />'W CHAIN OF CUSTODY El 1455 ❑ 1551 IndustrialcDowel) Road Blvd. -San Carlos, CA 94070 a (6 0) 232-9600 FAX (650) 232-961207) <br />32 96 1 207) 792-0342 <br />Company Name: C 601 1- b c IR- S <br />Project Name: <br />Mailing Address: 2 ,5 V -t , C F//} �z T LZ U-- V'dY1 y <br />Billing Address (if different): FC, M <br />City: 51-0( K To W State: Zip Code: 957 Z 0 � <br />_ <br />Telephone: t Of y6 d a y 0 FAX #: �/ /0 7 ,6 <br />P.O. #: <br />Report To: &7-&- w A R R c= N <br />Sampler: <br />QC Data: ❑ Level II (Standard) ❑ Chromatograms ❑ Level III ❑ Level IV <br />Turnaround O Standard O 7 Working Days O 2 Working Days ❑ Drinking Water <br />Time: 10-15 <br />Working Days 5 Working Days O 1 Working Day U Waste Water <br />O 3 Working Days O ASAP O Other \� <br />Client Date/Time Matrix # of Cont. Sequoia's <br />Sample I. D. Sampled Desc. Cont. Type Sample7s <br />1. s ole d l G��ls� <br />-3 /� yy s:ya 5�1f� «sf <br />2 4K <br />1_—� <br />4. lJ / �� S:2L/may S a�l J 4Q S>JAW <br />5. <br />6. <br />7. -- <br />10. <br />Analyses Requested <br />Comments <br />W_0 n „Qc kxflF <br />`i Jqq e I <br />Relinquished By: �Qb "�� ���,� <br />Date:_ ff <br />Time: ;$S <br />Received By: <br />Date: <br />Time: <br />Relinquished By: <br />Date: <br />Time: <br />Received By: <br />Date: <br />Time: <br />Relinquished By: <br />Date: <br />Time: <br />Received By Lab—• Z��( <br />DateAf{ <br />Time - <br />1'3f <br />Were Samples Received in Good Condition? O Yes O No Samples on Ice? O Yes ❑ No Method of Shipment Page _ of _ __ <br />