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SEQUOIA ANALYTICAL ❑ 885 Jarvis Drive + Morgan Hill, CA 95037 * (408)776-9600 * FAX (408) 782-6308 <br /> Q�/1455 N McDowell Blvd, Suite D * Petaluma, CA 94954 + (707)792-1865 * FAX(707)792-0342 <br /> CHAYN OF CUSTODY tH 819 Striker Ave, Suite 8 *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 i ,, Project <br /> Mailing Address Billing Address (if different) <br /> City State Zip Code <br /> Telephone Fax# P O # <br /> Report To d E-mail Address QC Data ErLevel li (standard) ❑ Level ill 0 Level IV <br /> Sampler Date 1 Time Results Required Sequoia's Work Order# <br /> Turnaround 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please rovide method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) 1 � <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) rr+ S <br /> © 5 Working Days 4 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> ❑ Other <br /> Client Date/Time Matrix #of Container Sequoia's ,�r �� Comments/ <br /> Sample 10 Sampled Desc Cont Type Sample# " x Temp if required) <br /> 3 9d OIL lq,.s5- L I <br /> 4 I/ 'o Z <br /> 5W dC <br /> 6 <br /> Aby- <br /> 7 C <br /> 8 s ! J , <br /> 9 o- Z L tfY��' <br /> Relinquished by I Co Received by I Co Date 1 Time 1 Temp 10(0 <br /> Relinquished by I Co Received by/C Date I Time I Temp <br /> Relinquished by I Co Received by/Co Date 1 Time 1 Temp <br /> Relinquished by/Co Received by 1 Co Date 1 Time I Temp <br /> Were Samples Received in Good Condition? Cl Yes © No Samples on Ice? O Yes ❑ No Method of Shipment Page__3 of� <br /> White Sequoia Yellow Sequoia Pink.Client <br />