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U 885 Jarvis Drive • Morgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 SEQUOIA. ANALYTICAL 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 • FAX (916) 921-01 Cao U 404 N. Wiget Lane . Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 1W CHAIN OF CUSTODY ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 • FAX (707) 792-0342 ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 • FAX (650) 232-9612 Company Name: C d -��k Project: Olt, ;-` M Mailing Address: ;1,5 01CU) lav V-, Billing Address (if different): City: S a G l-o State: C �:� Zip Code: 52Q Telephone: (2bei) ct 37 $7$ Fax #: C Oq� ct 3'7-S1d $ 7 f3� ❑ No n' P 'Z P.O. #: Payment Received: CJ Yes 1 U Report To: v� F Mail: d OC Data: D�rLevel D (Standard) ❑ Level C ❑ Level 8 ❑ Level A vt ev ate. , u rrN[�.S7otk7�i,. Y Turnaround 10- 15 Working Days ❑ 3 Working Days ❑2 -8 Hours Mandatory:' Sampler: r P rrA4� �►-ewe 5 a- Time: ❑ 7 Working Days ❑ 2 Working Days ❑ Drinking Water ,za Ci 5 Working Days ❑ 1 Working Day 0 Waste Water �QJmS f Q Other Client Date/Time Matrix # of Cont. Sequoia's `yam ` p` Sample I.D. Sampled Desc. Cont. Type Sample # /Vo cb0 �a Comments IU� 01-7-5--01_ Ifi 1� 1- � � o7'ZS-01O( � I - too marl 2. ` ev V� j a� 3. lU3(o fi x 1 — O 4. Ptra u r c(P C102; 5. d4 cJ%,oKicl-p 6---- �, 1 ,e, 4 e f o7. G7 0 9. 10. Relinquished B : �L"LLL. f�` Date: 7- t 0� Time: rq1 W Received B : l"�`-�--� / 6 1 Y _ Date:)/j/ Tirrre: _ Relinquished B �� Date: 31-�h Time: 6 2 Received B '` q Y� _.—. � / �( °� , l k7ale: �f'�I C-� _Timefl.� ) Relinquished By: Date: Time: Received By: Date: Time: Were Samples Received in Good Condition? ❑ Yes 0 No Samples on Ice? ❑ Yes.❑ No Method of Shipment Page of