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m m m m r m w m r r m m r m m m �s <br /> 0 ❑ 885 Jarvis Dnv organ Hill, CA 95037 • (408)776-9600 4, FAX (408) 782--6308 <br /> SEQUOIA ANALYTICAL ❑ 1455 McDowell d, Suite D • Petaluma, CA 94954 • (707) 792-1865 • FAX (707C-0342 <br /> Q ❑ 819 Striker Ave , Suite 8 * Sacramento, CA 95834 • (916) 921-9600 • FAX(916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1551 Industrial Road • San Carlos, CA 94070 • (654)232-9600 • FAX (650)232-9612 <br /> ❑ 404 N Wiget Lane * Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 <br /> 4 Company Name ,� Project '" <br /> Mailing Address „¢ Billing Address(if different) <br /> City ,,(� - State Zip Code <br /> Telephone o Fax# P O # ' <br /> Report To E-mail Address QC Data Level II (standard) ❑ Level III ❑ Level IV <br /> Sampler (,r Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround A 10-15 Working Days ❑ 72 Hours MANDATORY- N LYSES E TED (Pleaske Drovidemethod) <br /> Time (standard TAT) ❑ 48}tags ❑ SDWA(Drinking Water) <br /> ❑ 7 Wortdng Days ❑ 24 Hours ❑ CWA(Wastq Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardo <br /> ❑ Other V <br /> Client Date!Time Matrix #of Con ` iia sm <br /> Coments) <br /> Sample I D Sampled Dese Cant Sample# r ;1 Tem ffrequired) <br /> t <br /> 1 I / o y qSLd <br /> 2 W 14 � <br /> 7 <br /> 10 *V /JOg y W <br /> Relinquished By Date/Time 3o” <br /> Relinquished @x: Reeeiv Date/Time cL•_._ <br /> Nelin uished By Received By Date/Time <br /> Relinquished By Received By Date/Time <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page of <br /> White Sequoia Yellow Sequoia Pink Client <br />