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680 Chesapeake Drive• Redwood City, CA 94063 • (415) 364-9600 FAX (415)364-9235 <br /> SEQUOIA ANALYTICAL <br /> _2t- 819 West Striker Ave. - Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-fl100 <br /> NOV CHAIN OF CUSTODY <br /> ❑ 1900 Bates Ave., Suite LM • Concord, CA 94520 - (510) 686-9600 FAX (510) 686-9689 <br /> Company Name: / <br /> tau <br /> Project Name: <br /> ss: u ; # <br /> SSE:1 S Billing Address ( if different): 3 <br /> I t vu e,, <br /> City: CState: Zip Code: /( �a,.�crr> I �Y" ek �- <br /> I Tele hone: .3 3 ff!j� FAX S4 <br /> P.Q. #: 1; <br /> a� <br /> Re d T2. . <br /> Sam ler: i+ �. QC Data: Leve#A(standard) ❑ Level B ❑ Level C ❑ Level D U <br /> Turnaround ❑ 10 Working Days ❑ 3 Working Days ❑ 2 - 8 Hours ❑ Drinking Water❑ Waste Water <br /> Analyses Requested] c <br /> Time: 7 Working Days ❑ 2 WorkingDays <br /> 5 Working Days ❑ 24 Hours ❑ Other <br /> Client Date/Time MatrixC <br /> Sam #of Cont. Sequoia's Q�g� <br /> Sample I.D. Sampled Desc. Cont. Type Sample# Comments <br /> I. SP Gri46 y'k� s :5v&_- <br /> 2. 51)1-13 j3 `+ <br /> OL <br /> D <br /> 4. ,SA (3 <br /> 6. <br /> 7.8. <br /> Cr <br /> 9 ' <br /> m <br /> 10. <br /> Relinquished By: Date- g� Time:Z2 L Received By: `, Date:(oTime: <br /> Relinquished By: 64 Time:/ S' Received B Date: Time: <br /> Relin uished B . Date: Time: Received By tab: bate: / me: <br /> Were Samples Received in Good Conditlon?�Yes l]No Samples on Ice?xYes 0 No Method of Shipment Page of l <br />