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KX <br /> jra <br /> ALfYTICAL 720 Olive Drive,Suite D Lab:916.297.4800 <br /> NI <br /> LLC Davis,CA 95616 Fax: 916-297-4808 Page of <br /> Project anager: Ba Phone No.: -939 -?-1'70 Chain-of-Custody Record and Analysis Request <br /> r 94(v <br /> Com m/Addfefs. FAX No.: For Lab <br /> r ; ;� 0 /f L/ 7z- Analysis Request F use only <br /> Project Number: P.O. No.. Project Name: )7scvvo�� C.�'ev:- VVE.T(X) <br /> 3 C7(9 1 . ( 2- OKs 3Project Location: Sakipler SWature: TOTAL(X) <br /> C) <br /> 4 LU <br /> Container.. Method <br /> Sampling (Type/Amount) Preserved Matrix04 <br /> ra 0 N Co Z <br /> 6 L) <br /> n_ IL <br /> O <br /> W <br /> W (n Co 00 r <br /> 0 C) <br /> Co <br /> W LU ED FD 0 W W W <br /> Sample z 6 co Z <br /> W 0 < M M 9 9 9 g g 2< M d <br /> _J _J 0 z 0- IL <br /> 0 <br /> Designation Date Time W Ln T T_ z k) In M W W LU LU LU 1 0 1 U 1 1 t <br /> W- Oz 19- 6p / . zI ,// WI <br /> 9- C, 31 1 1 vi I v <br /> W -0 -2 ( 9 - 6 P3 00 3 ✓ - 03 <br /> JA)-QZ t 9 - GP 11.0 3 ✓ ✓ —0 Iq <br /> 1.v -0v9 -& P5 Iloo 3 V, V -6s- <br /> 19 P(O ! -.do 3 V) ✓ v _ b � <br /> W -0?1( 9 - f 17 Z110 3 <br /> - W - V2!l 9 -C'pa 5,-v a 3 <br /> W_ OZ( 9- CIP9 4oa 3 <br /> Wf 0-OZ-1 9 -- vi pi 0 goo 3 V/ <br /> Reli&Wishe Date Time Received by: Remarks: <br /> /-"p 3 . ..18 <br /> " . W'Irl <br /> I— <br /> ,npd,she),45yTime': Date me Received by: Email address- <br /> El.doc F—I.Xls ' El.bd Elother <br /> IRelinquish'ed tT Date Time j Received by Laboratory: Bill to: <br /> rbstribuffosi, White-Lab. Yellow-RW Pink-'df<linator f COC.fh5 <br />