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0 <br /> aSEQUOIA 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)792-9865 + FAX (707) 792-0342 <br /> 1W CHAIN OF CUSTODY F1( 899 Striker Ave , Suite 8 # Sacramento, CA 95834+ (996)921-9600 + FAX (916) 921-0100 <br /> El 2430 Sprig Court, Suite G + Concord, CA 94520+ (925)356-3150 + FAX (925) 356-0109 <br /> Company Name -Tl Protect a6o2- <br /> Mailing Address rJ Bifling Address (if different) <br /> City phor A. X State A Z Zip Code <br /> Telephone M_-07g) Fax# 6 7Z v u Y P 0 # <br /> Report To E-mail ddress � � � QC Data 06 Level II (standard) Cl Level III ❑ Level IV <br /> Sampler Date 1 Time Results Req ired J Sequoia's Work Order# <br /> Turnaround d 10-15 Working Days © 72 Hours MANDATORY ANALYSES REQUESTE=D Please rovide method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) 1 <br /> ❑ 7 Working Days C324 Flours ❑ CWA(Waste Water) `� a x 6 <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) .�� 1%a44 Q <br /> ❑ Other <br /> Client Date I Time Matrix #of Container Sequoia's Comments/ <br /> Sample I D l Sampled Desc Cont Type Sample# X Tem If required) <br /> $ <br /> 1 - A li 4 'sem ff�0 r 01 x <br /> 2 lJ- / ' ' to <br /> 3 d4ij- i e f. 1,10 —�z3 <br /> 5 Bilk/- 0 --� S <br /> 6 <br /> 7 w-3 aI, f1,110ro�? <br /> s rj, 3G WO_0 L ` 5' —0 <br /> Relinquished by I Co Received by 1 Co ate 1 Time 1 Temp C-9- 0 b <br /> Relinquished by 1 Co Received by I C Date I Time 1 Temp <br /> Relinquished by/Co Received by 1 Co Date/Time I Temp <br /> Relinquished by 1 Co Received by 1 Co Date 1 Time 1 Temp <br /> Were Samples Received in Good Condition? I1 Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page I of <br /> White Sequoia Yellow Sequoia Pink C1ienL <br />