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Cl 885 Jarvis Drive + Morgan Hill, CA 95037 + (40B)776-9800 + FAX (408) 782-6308 <br /> 4 Jff-SEQUOIA ANALYTICAL ❑ 1455 McDowell Blvd, Suite D + Petaluma, CA 94954+ (707)792-1865 + FAX (707) 792-0342 <br /> 819 Striker Ave ,Suite B + Sacramento, CA 95834 + (916)921-9600 + FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1551 Industrial Road + San Carlos, CA 94070 + (650)232-9600 * FAX(650)232-9612 <br /> ❑ 404 N Wiget Lane + Walnut Creek, CA 94598 + (925) 988-9600 + FAX(925) 988-9673 <br /> Company Name (~3(¢K n,,, ± N Project AdV--tom,( io -709Swig s <br /> Mailing dress f Y33 N �u Billing Address (if different) <br /> City _Pk„tN,y, StateZip Code Vv-Vj)3 <br /> Telephone (6r2_)-72$-0-7 n-7 Fax# (6o7,)-7Zg 67D P O # von-7v9 y <br /> Report To Sk,,L� Wv „tl E-mail Address btau Zv ,, ije&_ QG Data W-Level tl (standard) EllLevel (II © Level IV <br /> ` <br /> Sampler Date/Time Results Required Sequoia's Work Order# <br /> Turnaround �10-15 Working Days ❑ 72 Flours MANDATORY ANALYSE=S UES TE=D <br /> Time (Standard TAT) ❑ 48 hours LlSDWA(prinking Water) a roVlde ethod <br /> 0 7 Working Days 0 24 Flours ❑ CWA(Waste Water) � 5 <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Wa ti), <br /> 0 Other, <br /> 3 v <br /> Citent <br /> Date/Time Matrix #of :Conta,00yarn le t D Sam led Desc Conk . ,Sam le <br /> 1 tZ <br /> 5_ <br /> /� .7.D$ Hx U to VD,&i`r�; fir Tem if re ulred <br /> t j - l.li A,�.�. <br /> 2 w_ 4�� s-tasroi� w Y9 <br /> 3 �PUPti r w yx Vl� r�N r�r <br /> ry <br /> 0,� L(d hl fa` <br /> 44. <br /> ; <br /> 4 r �Ofib77OrfL'( <br /> furyV1jf s > t <br /> 5 <br /> 6 iTI� <br /> li Al _ _4lir� .e F et �{ ti. ��77•� ,(�"'? <br /> 7 <br /> i' ,f� � } � 1 �x �y4'.T 'Y z,fn <br /> '.r�rt�-�'3'.�i 'f'x�1' r v` '�r'' �ty�r� ,+'f J` <br /> 10 J it i .,,r'` >4.1 w s•',s '� a,r ;'�I � 1 ki i Mrlr,' s'F•' ,` ' a� <br /> F S t= ter I <br /> Relinquished By <br /> Relinquished By Date/Time <br /> Received`B Date 1 Time <br /> F�eCinqul' 'a By Received By <br /> Relinquished By Received By Date 1 Trme- <br /> Date I Time <br /> Were Samples Received in Good Condition? ®---Yes ❑ No Samples on Ice? ,>51- Yes ❑ No Method of Shipment <br /> Page 3 of 3 <br /> White 5-equoia Yellq quola <br /> Pink Client <br /> � !♦ � it � � �■ >r � i i�rrn� �� � ■�I�1 .i.nr■ � � �� ....,.. <br />