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SEQUOIA ANALYTICAL ❑ 680 Chesapeake Drive• Redwood City, CA 94063• (415) 364-9600 FAX(415)364-9233 <br /> qW ❑ 819 West Striker Ave. • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY <br /> 5 <br /> ❑ 1900 Bates Ave., Suite LM • Concord, CA 94520 • 510) 686-9600 FAX {510} 686-9689 <br /> Company Name: d- Jroject Name: <br /> V�. r — P <br /> � �u-ok i•,.� ,fi-x 1 <br /> Address: loll it K S+ Billing Address ( f different): } <br /> City: Stale: Zip Code:4Sy 14 <br /> Tele hone: FAX#: P.O.#: <br /> m <br /> Re rt To: 1 r rum Sam ier: �.... 0C Data: ❑ Level A(standard} ❑ Level B ❑ Level C ❑ Level D . <br /> JAC <br /> Turnaround o Working Days ❑ 3 Working Days 012 -81-lours ❑ Drinking Water Anal ses Requested] <br /> Time: ❑ 7 WorkingDas a <br /> Y ❑ 2 Working Days ❑ Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours ❑ Other C <br /> Client Date/Time Matrix #01 Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample# Comments <br /> 1. <br /> o <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> m <br /> co <br /> 9. <br /> m <br /> 10. 3 <br /> Relinquished By: ti, „� Date:1116 k 15 Time: 1; Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: I Received By Lab: Date: big ITime: <br /> Were Samples Received in Good Condition?0 Yes❑No Samples on Ice? a Yes❑ No Method of Shipment__ (r ►;p 1� Pana of <br />