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SEQUOIA ANALYTICAL <br />V CHAIN OF CUSTODY <br />u - v11VOCA VQINU vIiVC - i 1VUVVVVU vlty, VP1 JYVVJ kU JV) JU-t-C7VVV rrIkA 1VJV) JU4-04.00 <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 />1-1 <br />Company Name: - / e Ups <br />: <br />Project Name ­W <br />Mailing Address: - <br />City: State. Cv�, <br />Zip Code: ,q <br />Billing Address (if <br />(rJ r <br />P.O. #: <br />different): <br />t - <br />- -- - <br />q p r) <br />Telephone: `t'� �cC 0 —" FAX #: i(b cg11 <br />Report To: <br />Sampler: "3 <br />QC Data: <br />vel II (Standard) <br />U Chromatograms U Level III U Level IV <br />Turnaround man and U 7 Working Days U 2 Working Days U Drinking Water <br />Time: / 10-15 U 5 Working Days U 1 Working Day U Waste Water <br />Working Days <br />U 3 Working Days U ASAP U Other �� <br />Client Date/Time Matrix # of CPt.Sequoia's <br />Sample I.D. Sampled Desc. Cont. TSample # <br />w%l <br />� <br />Analyses Requested <br />Comments <br />2. <br />rb 2b� <br />Sol <br />- -- <br />-- <br />— <br />— <br />- <br />— <br />3. <br />4. <br />— - <br />5. <br />— <br />- — <br />-- <br />— <br />---- <br />— — <br />--- <br />— <br />6. <br />- <br />-- <br />—- <br />7. <br />- - <br />- <br />9. <br />10. <br />--- <br />------- <br />- — <br />- — <br />- <br />--- <br />---- <br />- -- <br />— - <br />-- <br />— <br />Date - Date <br />Relinquished By: . 1(1 .--- -- - -- ��lG <br />Time�� -- �b Received Time— <br />E, <br />im -g�— <br />Relinquished By: Date Timer9,30 Received By: — �� ,1 n Date:�U� Time:.�,3 0 <br />-- ---WA7 <br />Relinquished By: Date: Time: Received By Lab: Date: Time: <br />Were Samples Received in Good Condition? J Yes J No Samples on Ice? J Yes U No Method of Shipment . _.-_ -- _._ _ _ Page -_- - of <br />