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2795 2nd Street, Suite 300Davis,CA 95616 <br /> t ' <br /> Lab: 530.297.4800 $ 4 <br /> ANALYTICAL j_Lc Fax: 530,297,4$08 Lab No. 4"95' Page <br /> Project Contact(Hardcopy or PDF To): California EDF.Report? IX Yes ❑Nn <br /> IM re�� Chain-of-Custody Record and Analysis Request <br /> ompany/Address: Pbewmmyroidedbutnot to wmdwftncwm <br /> WTA Sampling Company Log Code- <br /> Analysis Request <br /> Phone No.: FAX No.: Global ID: m x <br /> I Sco-' 77-7411 911x-4,38- 3385 W <br /> Project Number: P.0, No: EQF Deliverable To(Email Address): <br /> @ kt- +fl . L�UM m W o O <br /> Project Name: Sa 21 � � w t <br /> wCM <br /> R o <br /> Project Address: a a J N <br /> Sampling Container Preservative Matrix o t 7 a <br /> x44$ West Vetento a m m N � a <br /> 1 l ro r LL <br /> l3-iNC, �OOi CPF E CO y N <br /> W O z m <br /> _ Z <br /> m Zr'° Z <br /> a a a Q z Ln w$am le Designation Date Time c Q N <br /> 43165 w x X IX IX I I X I Ik �al <br /> f ,✓ <br /> Relinquished by: Date Time Received by: remarks: <br /> N 715 05 12,20 �� <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: Dale Time Recelyed by togboratory: Bili to: ToOc, Thum.00 <br /> 071 12 t�•_-� 1G�' �c�..E Iniu.i D.e. o-7 S <br /> Ois&ibudon: White-Lab, Pink-Onginalor Forms/coc 1210U1.th9 <br /> i <br />