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aSEQUOIA ANALYTICAL ❑ 886 Jarvis Drive • Morgan Hill, CA 95037 + (408) 776-9600 + FAX (408) 782-6308 <br /> qW ❑ 1455 N McDowell Blvd, Suite D + Petaluma, CA 94954 * (707) 792-1865 + FAX (707) 792-0342 <br /> CHAIN OF CUSTODY ;K 819 Striker Ave, Suite 8 + Sacramento, CA 95834 + (916)921-9600 + FAX (916) 921-0900 <br /> ❑ 2430 Sprig Court, Suite G + Concord, CA 94520 + (925)356-3150 + FAX (925) 356-0109 <br /> Company Name $ <br /> Mailing Address ~ Project uA So S l� <br /> ah C q <br /> 1�f3' u' 3r e- Billing -Address (if different) <br /> City plloc'�r 4 StateZip Code E a03 <br /> Telephone o 2 _ _0,7-0 4 Fax# 607 - G P Q # <br /> Report To 00 L, 0- U <br /> S4eve- iN100r0%,r� E-mail Address 61- �m y r7 cps., QC Data ZLevel 11 (standard) ❑ Level III ❑ Level IV <br /> Sampler S O t ,,, Date 1 Time Results Required <br /> Sequoia's Work Order# <br /> Turnaround �K 10-15 Working Days ❑ 72 Hours MANDATORY <br /> Time (Standard TAT) p 48 Hours ANALYSES REQUESTED Please rovlde method <br /> ❑ 7 Working Days ❑ 24 Hours O CWA(Waste <br /> Water)Water} <br /> ❑ 5 Wotton Das ❑ CWA(Waste Water} <br /> 9 Y ❑ 2-8 Hours 0 RCRA(Hazardous Waste) <br /> 0 Other <br /> Client Date f Time Matrix #of Container Sequoia's <br /> Sample I D Sampled Desc Cont T e Sample# r6a\�a� Comments/ <br /> Temp(if re uired <br /> 3 6e j Y.o S'a t SS Sr, ----() <br /> 2 p P T-- 1Sv 3 a6 iP jb. s�, r --a� X <br /> 3 P Pli'- r So 3 1YI06 e, 13'.0-3Sa ( l x <br /> 4 DFI- &0 3 q Ob@ /p a - l Vohs ---0� <br /> X <br /> 5 P r'�i— -6 3 ob L 11.7,3 s `iD 5 K <br /> & <br /> 7 <br /> B <br /> 9 <br /> 110 <br /> Relinquished by f Co .�q Received by 1 Cr Date/Time 1 Temp 7o- <br /> Relinquished <br /> Relinquished by 1 Co Received by 1 Co VDate I Time/Temp <br /> Relinquished by/Co Received by I Co Date 1 Time f Temp <br /> Relinquished by I Co Received by/Co Date/Time/Temp <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page of <br /> While Sequoia Yellow Sequoia Pink Client <br />