Laserfiche WebLink
i i�` i i i i i i• t� t� i• � i♦ � t� t� <br /> 2795 2nd Street,Suite 300 <br /> .� Davis,CA 95616 <br /> Lab 530 297.4800 <br /> ANALYT%CAL uc Fax 530 297.4808 Lab Nog-5-5—'79;1 P l Or 1 <br /> Project Contact(Hardcopy or P F To) Cahfomia EDF Report? %Yea ❑No <br /> ,4 4 p,M/ P4 '11 't Chain-of-Custody Record and Analysfs Request <br /> �Q�1p�ny dress Raocmm.d,dti,eeot m Seca= <br /> �O i3O}� " . sampling Company Log Code 1' <br /> Wpob$& I b4-9 CA 95 XS r ' �" Analysis Request <br /> Phone No FAX No Global ID- <br /> Project Number PO No* OF Deliverable To(Sm <br /> a <br /> ll <br /> A <br /> d <br /> dress <br /> ) S m 3 <br /> sect Name Sampr SIgna re h a 0 <br /> any T <br /> P/4 P.A4,4<6 %r=XACo W rTW � � m •� � � � � <br /> h A <br /> Project Addres��s// #y <br /> sw N C..Iao rvimae Samptirt$ C Iver Preservative Matrix .` Cv <br /> v <br /> Sample Des!g Date Tuna = z U z 3 y w N <br /> I lgcu! S3 x e, IYy X i* X yC 'UI <br /> P7--940 Z 1 /52;0 X k -aa <br /> -- ul3 psi <br /> -03 <br /> 04] <br /> 7 7- - y4 W 5� Y, <br /> Rehgquished by Date Time Received by Remarks <br /> G <br /> 1 e ` <br /> Relinquished by Tmw ReceivedTSP °e- Them.we 14-� <br /> l � <br /> Thos, i RaC Coolantresent 1 N <br /> Relinquished by Date Time Re by boratory Bill to l+ ve V <br /> Opt <br /> ouzo K4 � <br /> Dlatrlbrdwn White-Leh, Ptak ()r*mfor FormslCOC 121001 M <br />