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4N <br /> ►FF l 1 �� <br /> NALYTICAL 720 Olive Drive,Suite D Lab. 916.297.4800 ' <br /> LLC Davis,CA 95616 Fax: 916.297.4808 Page of <br /> Proj Manager: Phone No.: <br /> gam, .'e r >-/( _,9� Chain-of-Custody Record and Analysis Request <br /> Camp ny/Ad ss: FAX No.: <br /> 30-V,%-, r -V 77- Analysis Request p use o Only <br /> Project Number: �Z P.O. No.: Project NZe <br /> rod C� VVE.T(x)Saorrl 3 <br /> Y <br /> Project Lo tion: ier TOTAL(X) <br /> nature: � <br /> G o <br /> av � <br /> w O N � <br /> contain Methodco <br /> n <br /> Sampling (Type/Amount) Preserved Matrix y A <br /> co <br /> (� 8 d 11 61 N N <br /> O O O O 4 N D L <br /> Sample w s w W X ca M W m W W. N <br /> O 0 U w 0 Q a a a a d d d ¢ �, v N <br /> Designation Date Time rn r Ln _ _ �? z 3 m m r r w W w w w c) � v <br /> P3 19 o9i0 I 5 - 1 <br /> S -zo 000 I <br /> 00 o t Vs ✓ - <br /> �o GP o�fa v f -t <br /> s ✓ - rS <br /> S -zo — GPS laov I s <br /> S - S - GPS P015 ► s ✓ -r7 <br /> t03o - r S <br /> )0f3 i <br /> noa <br /> linquis by: Dat Time `Received by: Remarks: <br /> �' 2r��4 rD-J T IVCatq <br /> elfin fished D e Time Received by: Email address: <br /> ❑.doc ❑.xls ❑.txt ❑other <br /> R linquished by: Date Time fteived by Laboratory: Bill to: <br /> C_ <br /> Distribution: Wh e-Lab, Yellow-File,Pink-Originator F COC.Ih5 <br />