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SEQUOIA ANALYTICAL <br />V CHAIN OF CUSTODY <br />U 819 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 />U 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br />U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br />Company Name: <br />Relinquished By: S I'`�- Date: 6 Time: <br />2 <br />'CO" <br />Time: <br />Received By <br />Received By: �, <br />Project Name: <br />Time: C') C� <br />Time: 0 <br />w <br />Date: <br />Mailing Address: .� <br />Received By Lab: <br />Date: <br />Billing Address (if different): <br />City: mp <br />State: CA <br />Zip Code: <br />2 W `cloq <br />- - <br />Telephone:rf l �. <br />FAX #: (� 8 <br />P.O. #: <br />QC Data: ev I <br />(Standard) U Chromatograms U Level III U Level IV <br />Report To:Sampler: <br />M <br />Turnaround AStandard Working Days U 2 Working Days <br />U Drinking Water <br />cr, Analyses Requested <br />Time: 10 <br />Working <br />U 5 Working Days U 1 Working Day <br />Days <br />U Waste Water <br />.. <br />�, rr <br />U 3 Working Days U ASAP <br />U Other <br />Client <br />Date/Time Matrix <br /># of Cont. <br />Type <br />Sequoia's ,�' <br />Sample # <br />e� <br />Comments <br />Sample I. D. <br />Sampled Desc. <br />Cont. <br />./--�-. <br />3 <br />n%:>`_ <br />0 D D <br />4. Y .. <br />St <br />` <br />. L <br />X1455 <br />X <br />x <br />- �- <br />l.J ,� <br />` -+- <br />5 c1 <br />< <br />I -L <br />tas5�� <br />W w 51[v6())(, <br />3 <br />5. <br />. <br />� <br />6. <br />7. <br />�taSS <br />/Y <br />Q <br />TWO <br />8. - <br />(��<� <br />Sod i <br />1 <br />l <br />O <br />S' Oi iWOW10 <br />9. – <br />25 <br />N- <br />I <br />I <br />1 <br />7' <br />N <br />Relinquished By: <br />Date <br />'CO" <br />Time: <br />Received By <br />Received By: �, <br />Dated <br />Date <br />Time: C') C� <br />Time: 0 <br />Relinquished By: <br />Date: <br />Time: <br />Received By Lab: <br />Date: <br />Time: <br />Were Samples Received in Good Condition? U Yes U No Samples on Ice? U Yes U No Method of Shipment Page — of <br />