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CSEQUOIA ANALYTICAL 0 885 Jarvis Drive + Morgan Hill, CA 95037 + (408) 776.9600 • FAX (408) 782-6308 <br /> 1W1455 N McDowell Blvd, Suite D + Petaluma, CA 94954 + (707)792-1865 + FAX (707) 792-0342 <br /> CHAIN OF CUSTODY ❑ 899 Striker Ave, Suite 8 • Sacramento, CA 95834+ (916)921-9600 + FAX (916) 921-0900 <br /> Cl 2430 Sprig Court, Suite G + Concord, CA 94520+ (925)356-3150 + FAX (925) 356-0909 <br /> MTelephone - <br /> nc Protect ,o <br /> �d I Billing Address (If different) <br /> State L Zip Code <br /> GD <br /> U. Fax# fJ r :Zd-y PO # <br /> Report To E-mad A�re r OC Data Level II (standard) ❑ Leve€ Ill ❑ Level IV <br /> Sampler Date/Tsults R�ired Sequoia's Work Order# <br /> Turnaround 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTEDPlease rovide method <br /> Time (Standard TAT) ❑ 48 Hours 0 5DWA(Drinking Water) �s <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste water) ` <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> 0 Other <br /> Client Date/Time Matrix #of Container Sequoia's �`�ta�� �Q� �� <br /> Sample I D Sam led Desc Cont T e Sam €e# ` �0 Comments/ <br /> Tem If required <br /> Q4 �+1 a� 4v�� [� <br /> 2 311a v k <br /> 3 C, s E z -(2) <br /> FF- <br /> 4 AW - LA3 rL <br /> 5 4&W <br /> 6- t4f J10 4 <br /> 7 A&W Villo, /3 l <br /> a c <br /> /04 101 <br /> 10 44 W— 4 la 4 0-1 <br /> Rel€nquished by I Co Received by!Co - ---- Date/Time/Temp <br /> Relinquished by/Co Received by I Co Date/Time/Temp <br /> Relinquished by/Co Received by/Co Date 1 Time I Temp <br /> Relinquished by/Co Received by/Co Date!Time I Temp <br /> I <br /> Were Samples Received in Good Conditron9l�-4 Yes ❑ No Samples on Ice? Yes ❑ No Method of Shipment Page z of—;L <br /> White Sequoia Yellow Sequoia Pink Client <br />