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r rr r r r r ' r■� r� r r rr r� r■� r� r r� .r r � <br /> 4D— SEQUOIA ANALYTICAL ❑ 88Jarvis Drive + Morgan Hill,CA 95037 + (408)776-9600 + FAX (408) 782-6308 <br /> ❑ 1455 McDowell Blvd, Suite D + Petaluma, CA 94954 + (707)792-1865 + FAX (707) 792-0342 <br /> CHAIN OF CUSTODY X 81 Striker Ave , Suite 8 + Sacramento, CA 95834• (916)921-9600 + FAX (916) 921-0100 <br /> ® 404 N Wiget !_ane • Walnut Creek, CA 94598 + (925)988-9600 + FAX(925) 988-9673 <br /> Company Name 236,e4 Protect <br /> I Mailing Address Billing Address (if different) <br /> i City Fj4-.m&r& State Zip Code p, <br /> Telephone bnz Zg C�7D? Fax# <br /> 7 -- P O # <br /> Report To `tel E-mad Address x QC Data ELI-evel 11 (standard) ❑ Level 111 Cl Level IV <br /> Sampler Date/Time Results Require I Sequoia's Work Order# O <br /> Turnaround �Eff- D-15 Working Days ❑ 72 Hours MA DATORY ANALYSES REQUESTED Please Drovide method <br /> Time (Standard TAT) Q 48 Hours ❑ 3DWA(Drinking Water) ,ti*� .y <br /> CI 7 Working Days ❑ 24 Hours ❑ WA(Waste Water) y- �V <br /> ❑ 5 Working Days ❑ 2-8 Hours p CRA(Hazardous Wast©)0 Other <br /> E Client Date/Time Matrix #of Contains Sequoia's t� ��0 ��' GbN�9 Comments/ <br /> Sample I D Sampled Desc Cont Type Sample# Tem If required) <br /> 1 i �- �b 45'1 fUOq 17'34 1-IzCJ W M D 7 00 K <br /> I <br /> 2 N�u+� 1 C 17 45- 1 '`0 Z � <br /> 3 <br /> 4 <br /> 5 05- <br /> 6 <br /> 8 1y V/ 13:30 , 4 <br /> I 9 / vll-SG )3`ZV <br /> 10 MW-bS� 1� ;�15 ��� ooh <br /> Relinquished by 1 Co Received y i Co -5;. Date/Time 1 Temp D <br /> R i , g UD <br /> Relinquished by I Co ams Received y 1 Co Date 1 Time I Temp <br /> Relinquished by I Co Received ay/Go Date/Time 1 Temp <br /> I relinquished by/Co Received y/Co Date/Time 1 Temp <br /> Were Samples Received in Good Condition? ,RL-Yes ❑ No Samples on Ice? 1W, Yes ❑ No Method of Shipment l Page--Lof 2 <br /> I <br /> r <br /> ( White Sequoia Yellow Sequoia Pink Client <br /> I <br />