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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 V8119 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 Project <br /> Mailing Address Billing Address (If different) <br /> City State Zip Code <br /> Telephone Fax# PO # <br /> Report ToE-mail Address QC Data Level 11 (standard) ❑ Level 111 ❑ Level IV <br /> Sampler Date I Time Results Required Sequoia's Work Order# <br /> Turnaround V 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUESTED Please orovide method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> ❑ 7 Working Days © 24 Hours ❑ CWA(Waste Water) N. <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> ❑ Other fib` �o �tiQ <br /> Client Date 1 Time Matrix #of Container Sequoia's `r Comments) <br /> Sample I D Sam led Dose Cont Type Sample# `+� `� <br /> Tamp if required <br /> 41 - 0 j (41,o q (,4-,&-/- <br /> X11 <br /> 2 k) - S <br /> 3 GTN <br /> 5S —? <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> m I- <br /> I <br /> 9 <br /> 10 <br /> Relinquished by!Co Received by 1 Co Date 1 Time 1 Temp b u <br /> Relinquished by I Co Received by 1 Date 1 Time 1 Temp <br /> Relinquished by!Co Received by/Co Date 1 Time 1 Temp <br /> Relinquished by I Co Received by/Co Date 1 Time 1 Temp <br /> I <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes Cl No Method of Shipment PageAofJ_ <br /> White Sequoia Yellow Sequoia Pink Client <br />