Laserfiche WebLink
i <br /> 2795 2nd Street, Suite 300 <br /> Davis,CA 95616Lab 530 297 4800 � <br /> ANALYTICAL cc Fax 530 297 4808 Lab No 3� 3 Page ��of <br /> Project Contact(Hardcopy or PDF To) Califomia EDF Report's E3 Yea ❑No <br /> l Chain-of-Custody Record and Analysis Request <br /> l,�vlo/ �q i <br /> Company/Addresst own-now:Wdbaxw to comVieft thhsK mi N <br /> A140WI Sampling Company Log code Analysis Request <br /> �EG'E 1S9d' fff-AAe� <br /> Phone No FAX No Global ID _ m m <br /> Project Number PO No EDF Deliverable To(Email Address) <br /> m o w m x �3` C <br /> Project Name Sampler Signature $ o w , <br /> IN v <br /> to CI N <br /> Project AddresSampling Container Preserva Matrix o h t b m N V v) Q L <br /> x C o nr <br /> Q tX U. <br /> 0 ❑ ppr. <br /> W <br /> !1 W <br /> 11J QOI <br /> id t <br /> Sam le Designation Date Time vJi ? v z W m M r0.- w ° O O -J wJPZ r <br /> %3i n 3 I --1 l <br /> PZ ��a <br /> PZ 2x1? /317 <br /> RZ .29A ICA <br /> LI I <br /> Relinquished by „qe� Time Received by Remarks <br /> 63 <br /> Reunqufahed by Date Time Received by <br /> Relinquished by Date The R ed by Laboratory 1 i till to <br /> % o,�to3 t A*j4q x-4 <br /> Distribution MAe-Lsb Yellow-File Pink Drtglnator V Fomtstcoc 121001 th9 <br />