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LJ 88b Jarvis Drive • Morgan Hill, CA 95037 + (408) 716-9bUU + F-AX (40b) 182-bJU8 <br /> 41� SE UOIA ANALYTICAL ❑ 1455 McDowell Blvd, Suite D • Petaluma, CA 94954+ (707)792-1865 • FAX (707) 792-0342 <br /> Q4 ❑ 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916)921-9600 + FAX (916) 921-0100 <br /> 1W A CHAIN OF CUSTODY 0 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 • FAX (650) 232-9612 <br /> 404 N W€get Lane + Walnut Creek, CA 94598• (925)988-9600 + FAX(925) 988-9673 <br /> Company Name Protect , en <br /> Marling Address ­BW4 Billing Address (i differs ) <br /> City State Zip Code <br /> Tele phoneFax# oZ LI P O # " <br /> Report To 14viloe— E-mail Address QC Data ❑ Level II (standard) ❑ Level III ❑ Level IV <br /> Sampler Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround 70-15 Working Days ❑ 72 Hours MANDATORY. L SES REQUESTED (Please Drovide method) <br /> Time. (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardgo s. as a� <br /> ❑ Other 75 �' <br /> ,gal� } _( <br /> Client Date 1 Time Matrix #of Contalfier ' tegLf`W;11­P 0 �y T n <br /> t;omments! <br /> Sample I D Sampled Desc Conk Type ample# Tem If required) <br /> 7 r <br /> �l Wife <br /> 3 !' sN 2rk <br /> J `x- <br /> n��� <br /> x , <br /> 5 MUv • S uZ <br /> L 1! a Ov <br /> 7 - <br /> LJ <br /> 8 r� tom, <br /> u 6�J TdM J�� 1A <br /> /_ � � /I 111 ;4 � <br /> 9 w i Z i o b Q,(i1t� og <br /> 10 riv ,�,� z e �, SMI rrr '` <br /> Rel1n uished By Recelv6d 13y: Date/Time 40 <br /> Relinquished By Received By Date/Time <br /> Rlelin uished B Received B Date/Time <br /> Relinquished By Received By Date /Time <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? Cl Yes ❑ No Method of Shipment Page of <br /> White Sequoia Yo Sequoia Pink Client . <br />