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SEQUOIA Redwood Clty: (4150%00 <br /> Mobi?Chain of Custody Cord: (510)686-9600 <br /> S� ANALYTICAL Sacramento: (916)921-9600 <br /> Consulting Firm Name t.�d Site SS# p 4- - K pct. Phase of Work <br /> 1�3 &If6 ❑ A Emrg Response <br /> Address �fo �v�s.C� OleN _ SuI fLL 6 Mobil Site Address <br /> ❑ B Site Assessment <br /> ' ,.4�pA1 State, C.t4 Zip Code, OfI-tYgg Mobil Engineer 1,�C Vim: a<c Remediation <br /> Tele ne 10 l FAX# ; 3I -r S,.r Z Consultant Project# 30- b !4-o— 07— ❑ D Monitoring <br /> Pro eat Contact ]Sampledb, Sequoia's Work Order Release# ❑ E OGC1Claims <br /> �� Analyses Requested <br /> Turnaround Time Lrttandard TAT(5 . 10 Working Days) <br /> ❑ Other Az <br /> Client DatelTime Matrix #of Sequoia's <br /> I <br /> Sample I D Sampled Description Containers Sample# .�Q� �Q �Q O�QP Comments <br /> 06 - ( - 1z41 <br /> 1 O <br /> 1 I 3 SO A, <br /> z. <br /> 3 <br /> 4. <br /> 5 <br /> 6 <br /> 7. <br /> 8 <br /> 9 <br /> i <br /> 10 <br /> i <br /> Relinquished By (,. Dateb it Q Time Sj Received B Date Time i3 <br /> Relinquished By Date Time Received By__ Date Time <br /> Flelloolshed By. I Date J"Ilme— R2cgivASLBXD t Ti <br /> Method of Shipment_ALr*Aj_ �_ Page l-of L <br />