Laserfiche WebLink
2795 2nd Street, Suite 300 i <br /> Davis,CA 95616 <br /> Lab 530 297 4800 <br /> ANALYTICAL uc Fax 530 297 4808 Lab No L'CcI q.�' Page of I <br /> ProjectCtact(Hardoopy or P F To) Cahfornla EDF Report? Yes ❑No <br /> +�G/�� Chain-of-Custody Record and Analysis Request <br /> Compa;-/ ;ss MM'111111 Wriat wzWowtoaxnpiglegibncilim <br /> i � <br /> Sampling Company Log Code Analysis Request a <br /> Phone No AX o � � � y 4 � <br /> Q� Q3 —z �G -zr�z Glob.!i0 m X <br /> LU <br /> Project Number !� P 0 No DF LZmtiv bis To Email Address) _ - OD m m <br /> �i `� m o u� u w x <br /> —3 o <br /> role Name J. Sampler Signature _ W <br /> Protect Address2 x x m00 <br /> a J J3 <br /> s mpiing Container Preservative Matrix « o FC4 - N w <br /> m O <br /> D `o c a r tL <br /> 0 <br /> E W O � Z � Z Z � � a� = v er <br /> Sam le-Designation nate rime a _ ° J go I N <br /> /'�W"Z i z ��� .i 5 rc <br /> K ` of <br /> MW <br /> o <br /> W- 3 <br /> 103 <br /> X k ' 6N <br /> Relinquished by Date Time Received by Remarks <br /> G y 14 bei 7/t:I <br /> quished by Date Time Reca <br /> Relinquished b - <br /> q Y Date Time Received by Laboratory Ball to/l1_ <br /> R;L WO'l 1600 9— , <br /> DiStnbut ie Lab Ank Onginator J 18P5fmS1CO-112401-70 <br />