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4—:1AUOQ ❑ 885 Jarvis Drive + Morgan HIII CA 950 + <br /> Q ANAUYTICAL 13i455 {V McDowellg + 37 (408)776-9800 + FAX (408) 782-6308 <br /> Blvd, Suite D Petaluma, CA 94954+ (707)792-1865 + FAX (707) 792-0342 <br /> qW CHAIN OF CUSTODY 1K 899 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 13 i Project <br /> Mallin Address L S° �- � �-� <br /> N. 3r 1 Billing Address (if different) <br /> City Pham,., State Zip Code groo3 <br /> Telephone 60'2-- ,O Fax# PO # <br /> ReportTo E-mail Address b 'S ds rt c QC Data Level Il (standard) ❑ Level Ili U 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 provide method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(Drinking Water) <br /> © 7 Working flays ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardous Waste) <br /> ❑ other <br /> c� L7 <br /> Client Date 1 Time Matrix #of Container Sequoia's ,t N� <br /> Sam le I D Sampled Desc Cont Type Sam le # �4� �o communise <br /> Temp(If required) <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> I <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> I <br /> 10c– <br /> Relinquished by 1 Co �.�1/' t Received by 1 Date/Time/Temp p t) �o <br /> Relinquished by/Co Received by 1 Co Date 1 Time 1 Temp <br /> Relinquished by!Co Received by 1 Co Date 1 Time/Temp <br /> Relinquished by 1 Co Received by 1 Co Date 1 Time 1 Temp 1 <br /> Were Samples Received in Good Condition? ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page of <br /> White Sequoia Yellow Sequoia Pink Client <br />