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SEQUOIA ANALYTICAL ❑ 885 Jarvis Drive • Morgan Hill, CA 95037 • (408)776-9600 • FAX (408) 782-6308 <br /> CHAIN OF CUSTODY ❑ 819 Striker Ave.,, Site 8 Z El 1455 N. McDwell Blvd Suite Sacramento IurCA 95 34CA 4964 916(921) 96001865 • FAX(707) 792-0342 <br /> ❑ 404 N. Wiget Lane • Walnut Creek, CA 94598• (925)988)9600 • FAX (92) 988-9673 100 <br /> 6) 921-0 <br /> Company Name: N <br /> Mailing Address: L Project: {, <br /> ih <br /> City: <br /> YK q Billing Address (if different): <br /> u2 State: A Zip Code: 9 <br /> Telephone: Fax#, <br /> Report To: - Olog P.O. #: /U/C l e/Soa <br /> er7 tf_A (r0yy E-mail Address: eAfw » QC Data: vel II (standard) ❑ Level III ❑ Level IV <br /> Sampler. NI hof Date/Time Results Required. <br /> Turnaround 0.15 working Days ❑ 72 Hours Sequoia's Work Order# <br /> MANDATORY: ANALYSES EOt1ESTED Please rovide method <br /> Time: (Standard TAT) ❑ 48 Hours <br /> ❑ 7 Working Days (324 Hours ❑ SDWA(Drinking Water) '�t <br /> ❑ 5Working Days ❑ 2-8 Hours ❑ CWA(WaWater) <br /> O ���1 <br /> ❑ Other <br /> R (Hazardous Waste) `•��W '� ,p • <br /> Client4 <br /> Date/Time Matrix #of Container Sequoia's <br /> Sam le I.D. Sam led Desc. Cont. T Sam le# � y`r �7' �Y� �� Comments/ <br /> 1. �c nr fur ( P)-)' 5 So 1( I ISD )( TemR(if required) <br /> -1 _pr <br /> 2. —c7! <br /> GCA n.t9T <br /> 3, B- - A tL 5 Sc7( <br /> 4. <br /> 5. <br /> 6. 1 O <br /> 7. � C <br /> 8. <br /> 9. <br /> 10. <br /> Relinquished by/Co.: Eq �/ Received by/C .: <br /> Relinquished by/Co.: t Date/Time/Temp.: t77tj <br /> Received by/Co.: /Time me/Te��� <br /> D <br /> Relinquished by/Co.: <br /> Received by/C a <br /> Date/Time/Temp.: <br /> Relinquished by/Co.: Received by/Co.: <br /> Date/Time/Temp.: <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? ❑ Yes No Method of Shipment: <br /> Page_of <br /> White: Sequoia <br /> yellow: Sequoia <br /> Pink:Client <br />