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�� Calincoln e <br /> 2795 Second Street,Suite 300 REVISED <br /> Davis, CA 95618 7440 Lincoln Way 12/e/200e <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 <br /> Analy fCaf LLC0 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: Recommended but not mandatory to complete Mis secuon: <br /> Kiff Analytical 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): N �. <br /> 7345.09 66313 nbox kiffanal tical.com • <br /> m o <br /> ain y <br /> Project Name: Container/Preservative Matrix _ m <br /> a <br /> Edison Sl. 0 m ` <br /> Project Address: Sam lin m m A a m <br /> Z c o n a o <br /> Z u m LL <br /> Sample E o n <br /> Designation Date Time J J g d <br /> SP-1,2 12/05/08 12:50 X X X X <br /> T1-Center-6' 12/05/08 12:35 X X X X <br /> T1-East-6' 12/05/08 12:40 X X X X <br /> T1-West-7' 12/05/08 12:45 X X X X <br /> T1-Water 12/05/08 12:10R21J+t X XXX X <br /> T2-Center-8' 12/05/08 14:55 X X X X • <br /> T2-1`111 12/05/08 14:55 X X X X <br /> Relinquished by: Date Time Received by: Remarks: Please refer to attached Test Detail. <br /> Revision: Include LUFT 5 metals by 6010 <br /> Relinquished by: Date Time Received by: for indicated sample. nt <br /> W <br /> O <br /> Relinquished by: Date Time Received by Laboratory: Bill to: Accounts Payable N.P <br />