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886 Jarvis Dave • Morgao Hill, CA 95037 • (408)776.9600 + FAX (408)782-6308 <br /> SEQUOIA } �. �•I� ❑ 1455 Mcbowall alvd, Surto D • Potalurrma, CA 94954• (707)792-1805 • FAX(707) 792-0342 <br /> U 819 Sirikcer AVG,Suite 8 • Sacramento, CA 95834+ (916)921-9600 + FAX(916)921-0100 <br /> CHAIN OF CUSTODY ❑ 1559 Industriai Road * Son Carlos, CA 94070• (650)232-9800 • FAX(650)232-9612 <br /> U 404 N Wigot Lane • Waf iut Creek,CA 94598* (925)988.9600 + FAX (925)9BB-9673 <br /> Company Name- ; ` ur�wnr,u�, _ f'rajPct ouz.=lo9so-by - --- <br /> Mailing Address: Nsi, N s 1?Y4 Billing Address(if dilferent)— <br /> City 'PA4L,,'. Stat©: p% Zip Code 3 <br /> Telephoney r.__-a r 7 Fax# ((,n)-7 _v-j jn _ P O.# <br /> RepQif 704 E-mall Address. ),(,,,t,(o,,,�.;,�� QC Data L] Leve!Il(standard) U �e eve <br /> Sam)ler- Date 1 Time Results Required Sequoia's Watk Order## _ g / <br /> Turnaround '�L. IM 5 Woigng Gays L172 Hours - MANDATORY, –ANALYSES R5QU TE_ PIease OrOvide me <br /> Time, (Staridard TAT) El 48 Hours C1 SDWA(Dnnkirng Water) <br /> U 711 DrkoV Days Q 24 rims CI GWA(Waste Watar) . <br /> Cl 5iVoOng Days C! 2-8 Hours ❑ �C RA(Hazard v alto _ <br /> IYOtltie � \� 4� <br /> Client Date!Time Matrix #of Cont a a'S` <br /> ComrnentsT <br /> Sam f0# 7em�x(If r uirod) <br /> Sample I D Sampled Desc Cant 'T► �„ , <br /> OFT 4; )e—' ,,e <br /> 2 �-i� Qv , <br /> h � <br /> s ; <br /> PAU_ 115 <br /> /A <br /> 10 <br /> Y <br /> W-&B <br /> � <br /> Resin Vished B <br /> g Data l Time: <br /> RkRohniquishied <br /> lquished By: Recoivec� ' � Date 1 Time: _- <br /> quished By Received By. Dake f Time <br /> ByReceived By. Date!Time <br /> Samplos Received m Good Condition? es ❑ No Samplas ans i..l Ido Method of Si�TpmentWhile &Nt a Yelfvwr SequoiaPusk Gent <br />