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KiFFDavi Second Street Suite 300 Ca science <br /> Davis, CA 95618 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 <br /> Analytical LLC Fax: 530.297.4808 714-895-5494 COC No. 66912 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. RecommenJetl 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 /> 7345.09 66912 nbox I<iffanal tical com m m T <br /> c <br /> Project Name: a a rn 0 <br /> Container l Preservative Matrix _ w p w <br /> Stockton Promenade m `m M D <br /> Project Address: m a N m <br /> Sampling — m <br /> 0 0 <br /> Sample <br /> Designation Date Time n a <br /> T3-W-6 01/15/09 12:25 X X X X X <br /> T3-E-6 01/15/09 12:30 X X X X X <br /> T4-W-8 01/15/09 12:33 X X X X <br /> AXT4-E-8 01/15/09 12:36 X X X X <br /> SP3-1,2 01/15/09 12:45 X X XIX X <br /> • <br /> Relinquished by. Date Time Received by. Remarks. Please refer to attached Test Detail. <br /> m <br /> Relinquished by Date Time Received by: M <br /> N <br /> N <br /> Relinquished by. Date Time Received by Laboratory: Bill to: 0 <br /> Accounts Payable , <br /> N <br />