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, Redwood City: �SEQUOIAMobsI Chain oPCUsto,'d* .yj1 ���: (510)686.9604 <br /> � s ,ANAL)MCAL Sacramento: (916)921.9600 <br /> ConsuffiN Firm Name At;rc l : Gr-OSC WCE ".` j l Site SS# 04 Phase of Work: • . <br /> �3 ❑ A Emrg Response <br /> Address- ,59-10S"tON�iUbG� D1���1 Su.t-a� ro Mobil Site Address• 'TA G8 <br /> Ct ?LVA&k4TOState.* tA Zia GWft-9+S88' it Einr S-Mk-~• m O ❑ B Sne Assessment <br /> ' I ($t0 '�3¢- Sl t5ti0 � -84�d 01 Q �C ReRemediationTele ne• FAX# Consultant Proect# �O- - 7 ❑ D Monnonng <br /> UPU yol�G ca�v �ol�C <br /> Pro Contact Tsampled by, Sequoia's Work Order Release# ❑ E OGC1Claims <br /> jAnalyses Requestedl <br /> Tumaround Time Standard TAT(5- 10 Working Days) <br /> ❑ Other �R, 50 <br /> Client Dateffime Matrix #of Sequoia's <br /> Sample I D. Sampled Description Containers Sample# ,�Q �Q� CQP O�QP Comments <br /> z <br /> 1. <br /> 10:Os 4,0 X / p <br /> 2. <br /> 3. i <br /> 4. <br /> 5. i <br /> 6 I ` <br /> ,r <br /> 7. <br /> g <br /> 10. <br /> Relinquished B Date Oro °� me 3=��� Received{ Ji Data 6-J/-9j Tirne '2 : Do <br /> —AVRelinquished By Date•6 ' me 05 Receivedn�- M4�� Date(� L Time <br /> , <br /> I Date. ITIme: I Fjece1y2&2 I Date: iThe. <br /> Method of Shipment P+nn M <br />