Laserfiche WebLink
• <br /> 2795 2nd Street, Suite 300 <br /> Davis,CA 95616 <br /> Lab 530 297 4800 <br /> ANALYTICAL LLC Fax 530 297 4808 Lab No Page a of <br /> Project Contact(Hardcopy or PDF To) California EDF Report'? ❑ Yes [:]No <br /> Chain-of-Custody Record and Analysis Request <br /> Compo ylAddress / ReomnmxWbwnotmandato to=o ieteeftseam,. <br /> cz Sampling Company Log Code Q <br /> Analysis Request <br /> Phone No FAX Na Global ID m x <br /> N UiUi <br /> Project Number PO No EDF Deliverable To(Email Address) m <br /> Ui NCO o` <br /> Prbtect Name Sampter Signature �+ m m a a <br /> iu >n tatgg, ccmgg m W o <br /> C%I LO <br /> Project Addre Sampling Container Preservative' Matnx R o t m io�ni CO <br /> O <br /> ?" ; m O m C C y o = N E LL <br /> r .. E W O z F J W CO ( 4M 4 eNo W N <br /> ��1(I Ivp <br /> Lu <br /> p J a a H F EL a s 0 M O m N <br /> Sample Designation Date Time v us x x z v, ,� e, ,� �, W <br /> I <br /> i <br /> Relinquished by D to Time Received by Remarks <br /> Relinquished by Date Time Received by r <br /> Relinquishe Date Time Race vedoto 6i to <br /> J �fj <br /> Distnbudon Whyte-Lab,Yellow-File,Pink-Onginator Formslooc 121001 fh9 <br />