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• 0 <br /> 2795 2nd Street,Suite 300 <br /> Davis,CA 95616 <br /> ANALYTICAL UC Lab 530 297 4800 <br /> Fax 530 297 4808 Lab No Page of <br /> Project Contact(Hardcopy or PDF To) California EDF Report'? ❑ Yasvo <br /> - �1 l Chain-of-Custody Record and Analysis Request <br /> Company/Address � Reoommentladbutnd <br /> r Sampling Company Log Code Analysis Request ti <br /> Phone o FAX'No Global ID X <br /> GGr- 57ag o 4C i ozu - m <br /> LU <br /> Project Number PO No EDF Deliverable To(Email Address) m m m <br /> x <br /> Protect Name Sampler S na m N O <br /> P L P-�o w n m w + o as w ami <br /> U5 N <br /> Protect Address _ _ g o <br /> �7G Sampling Container Preservative Matrix a I" a @ <br /> A CO <br /> l9 O N C <br /> _ m m T <br /> W O F� U. <br /> -� xx Xx m m C7 m m N <br /> Q W W S = 2 x x ¢ v L <br /> Sample Designation nate Time = z °z <br /> 4.- o ° W a m <br /> 1 <br /> Z1 <br /> duAet/4,%1!ft`9 ZZ <br /> ------- 1 14 <br /> Relinquished b Date ;fne Received by Remarks <br /> � Temp'C _,.FYtarsn/.�fD�w,�� <br /> Relinquish Date Time Received by Inrdsl Dats <br /> Tlrnq62M4P Coolant present&/N <br /> Relinquished by Date Tune Received by Laboratory l3dl to <br /> Distnbut+on White-Lab Rnk-Onginstor, <br /> Formslcoc 121001 M <br />