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i <br /> 2795 Second Street, Suite 300 Calscience <br /> KIFF Davis, CA 95618 7440 Lincoln Way � <br /> 1Z8��1�1 <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 8 <br /> Analytical LLC Fax: 530.297.4808 714-895-5494 COC No. 81637 Page 1 of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? YES Chain-of-Custody Record and Analysis Request <br /> Jennifer Worsley <br /> Company/Address: Recommended but not mandatory to complete this section: <br /> Kiff Analytical Sampling Company Log Code: SIRC Analysis Request TAT <br /> Phone No.: FAX No.: Global ID: SL375453650 <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.O. No.: Deliverables to(Email Address): <br /> 185702499.200.0007 81637 inbox kiffanal tical.com o <br /> Project Name: Container I Preservative Matrixv4'i <br /> o <br /> Tesoro Stockton Terminal ? _ <br /> Project Address: SamplingIt c <br /> C <br /> O LL <br /> Sample 4 <br /> CL <br /> Designation <br /> Date Time cn 2 <br /> Tank-1 Composite-2 06/19/12 12:00 1 X X X I <br /> Tank-2 Composite-2 06/19/12 12:00 1 X X X Z <br /> r <br /> A 4 <br /> Re is d Date Time Received by: Remarks. Please refer to attache De Pie <br /> �` - ll �H) CqI �3oiZ lq�� provideEQuIS. � 6' <br /> relinquished by: Date Time Received by: Zt� <br /> Dh <br /> Relinquished by: Date Time Received by Laboratory: Bill to: <br /> Accounts Payable <br /> Io SAzzery <br /> Return to Gontems <br />