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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 ❑ 819 Striker Ave., Suite 8 + Sacramento, CA 95834 + (916)921-9600 + FAX(916)921-0100 <br /> ❑ 404 N. Wiget Lane + Walnut Creek, CA 94598 + (925)988-9600 + FAX(925)988-9673 <br /> Company Name: S Project: J, S lui <br /> Mailing Address; IBilling Address (if differenty <br /> City: State: Zip Code: <br /> Telephone: Fax#: S1 0—Z a P.O.#. <br /> Report To: O E-mail Address; QC Data: CJ Level 11 (standard) O Level III LJ Level IV <br /> Sampler: Date/Time Results Required: Sequoia's Work Order# n,,/1('x p <br /> Turnaround ❑ 10-15 Workfng Days Q 72 Hours MANDATORY: ANALYSES REQUESTED Please rovide'method <br /> Time: (Standard TAT) Q 48 Hours Q SDWA(Drinking Water) <br /> Ll 7 Working Days Q 24 Hours ❑ CWA(Waste Water) A <br /> X5 Working Days ❑ 2-8 Hours RCRA(Hazardous Waste) <br /> 7(j_ Other �� � <br /> Client Date/Time Matrix #of Container Sequoia's s/ <br /> Sample LD. Sampled Desc. Cont. Ty e Sam le# Comments/ <br /> Tem . Itrequ <br /> 2. e i � <br /> 3. �-t 0 ) <br /> 4. <br /> 5. c �Ci <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 10, <br /> Relinquished by I Co.. Received by/Co.: Date/Time I Temp.: <br /> Relinquished by I Co.: Received by/Co.: �y W Date/Time I Temp.: l I t' <br /> Relinquished by/Co.: Received by/Co.: Date/Time 1 Temp.: <br /> .. Relinquished by/Co.: Received by/Co.: Date I Time I Te <br /> 'dere Samples Received in Good Condition? I `_ Yes Q No Samples on Ice? Yes to No Method of Shipment: 1,4 a w Page ofL_ <br /> // i <br /> r <br /> White: Sequoia w: Sequoia Pink:Client 1 <br />