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LJ OQJ JGIVIt) 1.11 rvt: -tYIVIUCAII 1 n.., v.. v„-,.,,• I .--, . _ -.--__ , <br /> SEQUOIA ANALYTICAL 819 Striker Ave.,404 N.Wiget Lane Suite aln t G er k CA CA <br /> 5195834* <br /> 8 `(92)98)3 9..1-1-9600 FAX <br /> X25} 988-9673t0o , <br /> `;] 1455 McDowell Blvd. Norah, Suite D• Petaluma, CA 94954•(707) 792-1865 FAX (707) 792-0342 <br /> 0, �/► CHAIN OF CUSTODY U 1551 Industrial Road•San Carlos, CA 94070• (650) 232-9600 FAX (650)'2.32-9G 12 <br /> C" Company dame: t i.v a+2�( Project Name: - Q v��rs t t `�-- Svc <br /> C - Billing Address(if different): <br /> Mailing Address: <br /> City: _0'�1 State: Zip Code: --- - -- -- <br /> ------------ <br /> Telephone�y9 ,t 7671 <br /> FAX#: r3G� Q���-� NO.#: <br /> Report To: �,41G�1� Sampler: , ��. ,2;( ,,�c r i QC Data: U Leve! D (Standard) 7 Level C L)Level B ❑Level A <br /> x <br /> Analyses RequestPId <br /> Turnaround X10 Working Days i_]3 Working Days U 2 -8 Hours I U Drintorng frWatei y a <br /> Time: ❑ 7 Working Days ❑2 Working nays AuastF.Water <br /> U 5 Working Days U 24 Hours U Other <br /> Client Daterrime Matrix #of Cont, Sequoia's /_� /� , L i'� /" Comments <br /> Sample I.D. Sampled Deso. Cont. Type Sample# `�f i <br /> pev H1, <br /> 6 <br /> 2. <br /> 3. <br /> 4. -- --- - <br /> 5. <br /> - - A4"e_ <br /> 6. <br /> -- — ----- -- - - ----- -- - -- -- _ �:o to <br /> ( L c•�rJ ��� leo h p <br /> J - ---- - -- - ----- -- <br /> 7 - -- -- — - - - -- - -- Cr <br /> cn cry <br /> S. - -- -- -- - - <br /> ro Z <br /> L-IJ <br /> 10. <br /> J Received t3 Date: <br /> Ti /I p Time: <br /> cU Relinqu.ished By. L Date: P� e-p� rre:�` y' <br /> - - - - r -- <br /> W Date: Time: Received By: Date: Ttrne: <br /> rn Relinquished By: _ -- -- — -- --- --- - --- - - -- - - <br /> }lelinqulshed By: - — Date: Time: Received 8y: ----` Date: Time: <br /> ►Here 5atnples Received in Good Condition? 3 Yes U Ne Samples on Ice? 0 Yes U leo Method of Shipment _ __ rage <br />