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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, Sulte D + Petaluma, CA 94954 • (707)792-1865 + FAX (707) 792-0342 <br /> CHAIN OF CUSTODY ii" 819 Striker Ave , Suite 8 r Sacramento, CA 95834 + (916) 921-9600 + FAX(916) 921-0100 <br /> ❑ 2430 Sprig Court, Suite G + Concord, CA 94520 + (925)356-3150 + FAX (925) 356-0109 <br /> Company Name Protect <br /> Mailing Address Billing Address(if different) <br /> City State Zip Code <br /> Telephone Fax# PO # <br /> Report To VR E-mail Address QC Data Level I! (standard) El Level Ill L1 Level IV <br /> Sampler Date I Time Results Required Sequoia's Work Order# Zo <br /> Turnaround W 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please orovide method <br /> Tune (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) `�,r �k � <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> ❑ Other ti� �p pti <br /> OU h`v <br /> Client Date/Time Matrix #of Container Sequoia's Q� <br /> SaComments/ <br /> m le I D Sampled Desc Cont Type Sample# x�� Temp(!f required <br /> 2 - LIL u (�, b —to <br /> 3 <br /> 4 1,1- "' u `Sd ( 2- <br /> 5 W_ 5-4(- <br /> 6 <br /> G6 - 6A Ii.10 <br /> 8 14w- 46 <br /> s MIJ, _X <br /> '10 Mu1� oL I`1' 3a <br /> Relinquished by 1 Co Received by/Co Date/Time/Temp {? ° <br /> Relinquished by I Co Received by 1 C Date 1 Time 1 Temp <br /> Relinquished by 1 Co Received by 1 Co Date 1 Time I Temp <br /> Relinquished by I Co Received by I Co Date I Time 1 Temp <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page?of—yL <br /> White Sequoia Yellow Sequoia Pink Client <br />