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w FF 2795 Second Street,Suite 300 CalsClenCe _ <br /> Davis, CA 95618 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 <br /> Analytical uc Fax: 530.297.4808 714-895-5494 COC No. 66313 Page 1 of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? No Chain-of-Custody Record and Analysis Request <br /> Debbie Daniels <br /> Company/Address: Recomme"en Wt not mMftWry to complete this section: <br /> KWAnalytical Sampling Company Log Code: Analysis Request TAT <br /> Phone No.: FAX No.: Global ID: <br /> 530-297-4800 530-297-4808 <br /> Project Number. P.O. No.: Deliverables to(Email Address): a <br /> 7345.09 66313 inbox(ftiffanalvtical.com o • <br /> Project Name: a to <br /> Container/Preservative Matrix >1 toCUH <br /> Edison St. 6 N a p <br /> Project Address: sampling, a, m <br /> zz w LL <br /> 0 <br /> `w <br /> Sample a 0 y a <br /> J J m <br /> Designation Date O <br /> O Z O <br /> Time to 3 0 <br /> SP-1,2 12/05/08 12:50 1 X X X I I I X <br /> T1-Center-6' 12/05/08 12:35 1 X X X I I I I I I X 2 <br /> T1-East-6' 12/05/08 12:40 1 X X X X 3 <br /> T1-West-7' 12/05/08 12:45 1 X X X X �F <br /> T1-Water 12/05/08 12:10 2 1 X X X X S <br /> T2-Center-8' 12/05/08 14:55 1 X X X X ( • <br /> T2-FIII 12/05/08 14:55 1 X I IX X X 7 <br /> Rshed y: / Date Time Received by: Remarks <br /> eli :; : <br /> 124E03 1-7,00 <br /> Relinquished by: Date Time Received by:Relinquished by: Date Time Received by Laboratory. Bill to: Accounts Payable <br />