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2795 Second Street, Suite 300 Calscience <br /> Davis, CA 95618 7440 Lincoln Way d �Z <br /> KIFF0 Lab: 530.297.4800 <br /> Anil tlC�l LLC Fax: 530.297.4808 Garden Grove, CA 92841-1427 <br /> y 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 this section: <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): <br /> 211 <br /> 7345.09 66313 inbox(aD-kiffanalytical.conn o <br /> IL Cn <br /> Project Name: Container/Preservative Matrix y <br /> T C <br /> Edison St. o t <br /> Project Address: Sampling m a� 0o m <br /> z a u <br /> az W ca t° <br /> m <br /> Sample E o <br /> a N aa a <br /> Desi nation J J `° `° Z o <br /> g Date Time cn a a <br /> SP-1,2 12/05/08 12:50 1 1 X X X X <br /> T1-Center-6' 12/05/08 12:35 1 X X X X Z <br /> T1-East-6' 12/05/08 12:40 1 X X X X ?j <br /> T1-West-7' 12/05/08 12:45 1 X XIX X 11 <br /> T1-Water 12/05/08 12:10 2 1 X X X X -5— <br /> T2-Center-8' <br /> T2-Center-8' 12/05/08 14:55 1 X X X X t? <br /> T2-FIII 12/05/08 14:55 1 X X X X 7 <br /> Reli 'shed y: / Date Time Received by: Remarks: <br /> r r�� �c, /� ��(12Vs0 1goo <br /> Relinquished by: Date Time Received by: <br /> �U�v��� (�I o23o3S'�2-� r�`G�Cv ro,� ��►�� �- <br /> Relinquished by: Date Time Received by Laboratory: Bill to: <br /> Accounts Payable <br />