Laserfiche WebLink
2795 2nd Street,Suite 300 <br /> /FF Davis, 9�� J <br /> ANALYTICAL «c Fax: 530.297.4808 lab No. _363 Z�'1 Page of <br /> Project Contact(Hardcopy or PDF To): California EDF Report? Yes ❑No h Chain-of-Custody Record and Analysis Request <br /> Company/Address: <br /> RSeaomomprrlirnangdCedobmrapnaant y Log Code:tfn <br /> K +: <br /> Q <br /> Ana lysis Request <br /> h rte Nv.: F6X N :Global ID: in v <br /> 1�-536--46163�-S3S m mCD <br /> Project Number: P.O.No: qDF Degverabi o( mail Address): m m m �+ <br /> eu4 eom _ w � X o <br /> Pro'ect Name: U *-i ler i re: _ a <br /> >L ui o w a m ad w o t 7 S } <br /> °� m C7 t7 m fG CQ� N <br /> Pro' Addr s T7� � a a- m CO C] J 0 N L <br /> .z � r Sampling Container Preservative Matrix 6 m o � H m N g ,o <br /> Q (7 m o r m m m '� v D <br /> _ e A- W CC a O 1 i m m m c � W N `c U. <br /> W fi W W J XX X� M W C7 pp�� a1 �p W m A N <br /> W O W Z Q W 2 2 = S< % % - 'N Q m L <br /> Sample Designation Date Time i i = �? z U) m m a F- a kO o o O w � _ r <br /> �z <br /> r ; <br /> Fi uis by: �,pa#q Time Received by: Remarks: <br /> Relinquis by: .Date Time Received by: <br /> Relinquished by: Date Time Received by laboratory: Bill to: <br /> �w 70 I7Sb' r a �c <br /> Distribution: While-Lab. Pink-Originator Formslcoc 121001.th9 <br />