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SEQUOIA ANALYTICAL ❑ 885 Jarvis Drive + Morgan Hill, CA 95037 + (408) 776-9600 + FAX (408) 782-6308 <br /> ❑ 1455 N McDowell Blvd, Suite D + Petaluma, CA 94954+ (707)792-1865 + FAX (707) 792-0342 <br /> CHAIN OF CUSTODY ❑ 819 Striker Ave , Suite 8 + Sacramento, CA 95834 + (916) 921-9600 + FAX (916) 921-0100 <br /> LI 2430 Sprig Court, Suite G + Concord, CA 94520+ (925) 356-3150 + FAX (925) 356-0109 <br /> Company Name a �„F ,,,„ ac, Protect Doz- 7Q�Sa -Q <br /> Marling Address rel Biking Address (if different) <br /> City o, ; State Z Zip Code S ars <br /> Telephone Fax# Get <br /> ?a PO # <br /> Report To E-mail Address r QC Data Level EI (standard) ❑ Level Ill ❑ Level IV <br /> Sampler t Date 1 Time Results ReqtfiredfSequoia's Work Order# <br /> Turnaroundl[ 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please movide method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CVVA(Waste Water) a Qum <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) ~ y <br /> Cl Other �'t` �' ,R���► <br /> Client bake/Time Matrix #of Container Sequoia's <br /> Sample I D Sampled Desc Cont T e Sam le# Temp if cared <br /> 1 1 161) q r G �,h✓ <br /> 2 — !I L 3 !4 9�j3 'r�� <br /> 3 3116/0 103 4 r� <br /> 4 JUt / loo 1 0 4 �-•yL <br /> 5 - �Z 3 ! o 4 <br /> 6 MW A <br /> 7 MIA/ - 3 21� <br /> 8 A4SIJ ' 11 <br /> 9 1n{ ` 3 y a ��' -4 TV- <br /> 10 4 K, 3/isr/ac, 10 <br /> Relinquished by I Co Received by 1 Co Date/Time/Temp <br /> Relinquished by/Co '` Received by 1 Co Date I Time I Temp <br /> Relinquished by/Co Received by l Co Date 1 Time 1 Temp <br /> Relinquished by 1 Co Received by 1 Co Date 1 Time I Temp <br /> Were Samples Received in Good Condition? Yes ❑ No Samples on Ice? Yes ❑ No Method of Shipment 2yL_ Page of <br /> White Sequoia Yellow Sequoia Pink Client <br />