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KI FF Second Street, Suite 300 Ca science <br /> Davi <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. Page 1 of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? YES Chain-of-Custody Record and Analysis Request <br /> Debbie Daniels <br /> Company/Address: Recommended but not mandatory to complero M.section: <br /> Kiff Analytical Sampling Company Log Code: CSIB Analysis Request TAT <br /> Phone No.: FAX No.: Global ID: 70607736979 <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.O.No.: Deliverables to(Email Address): <br /> New West#1003 67767 inbox kiffanal ical.corn <br /> Project Name: rn 01d <br /> Container/Preservative Matrix <br /> New Wesl#1003-#1003:6437 W.Banner,Lodi <br /> Project Address: <br /> Sampling & ` <br /> b 0 <br /> 2 0 <br /> Sample 0 o <br /> Designation Date Time J 3 <br /> Effluent 03/16/09 12:00 1 1 1 1 X X I I I X1 I <br /> Reli uis e b Date Time Received by: Remarks: <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: D e Time Re . d y Lab ratory: Bill to: Accounts Payable <br /> ` 01320 3 \� a>� - <br />