Laserfiche WebLink
2795 2nd Street, Suite 300 <br /> /FF Davis,CA 95616 <br /> Lab 530 297 4800 <br /> ANALYTICAL LLC Fax 530 297 4f308 tab No 4 Page Z of <br /> Protect Contact(Hardcopy or PDF o) California EDF Report'>'$4-yes ❑No Chain-of-Custody Record and Analysis Request <br /> Y Y q <br /> Co pany/Addrsss���r� Rrcarmwraedeuerw� w urssec�on F <br /> Sampling Company tog Code Analysis Request F <br /> honeNoy�� FAX No Global ID <br /> /� p tpp m X <br /> V e-rW/y33n ���C) /3 V 6 D O Z- CO N (V N w <br /> Project Number PO No EDF Deliverable To(Email Address) xx mm m o a, <br /> CD <br /> m o W ul w Nu C <br /> N _ N <br /> Project Name Sampler Sign re "' w m � ca �a a o H <br /> CO w <br /> Project Address 2 n N ° N 16 <br /> i Sampling Contains Preservative Matrix a �, N -.1 <br /> �L G 0 w N = o m m 1p C 0 l0 CV t U. <br /> co- �, w w W c� �, Fr, T vii m m v N <br /> E w� z w p a p " "� z z z o 0 0 0 a ° L <br /> Sample Designation Date Time a rn z = z 3 to CO ti v, w <br /> ��✓ � qtr v y( �( �^e�. <br /> 144 A-."/0 <br /> i <br /> i <br /> Relinquished by, Date Time Received by Remarks <br /> Rehnqurshed b 'Die Time Received by <br /> Relinquished by Dale Time Re ived by Laboratory Bill to <br /> ��- <br /> Drsfnbuhon White-Lab Pink-Ongrnator Formslroc 121001 fh9 <br />