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2795 2nd Street,Suite 300 <br /> /FF Davis,CA 95616 <br /> Lab: 530.297.4800 <br /> ANALYT/CAL LLC Fax: 530.297.4808 Lab No. �� Page of <br /> Project Contact(Hardcopy or PDF To): California EDF Report? ❑ Yes I J No <br /> N� �� �-;,� � Chain-of-Custody Record and Analysis Request <br /> ompany/Address: � �/co *� Recommendedbutnol b oftsecilon: �- <br /> A Sampling Company Log Code: Analysis Request � <br /> sQ.4�^rC'iro ✓ <br /> X <br /> Phone No.: FAX Mo.: Global ID: o <br /> X76 S6 —,z6 / - S co <br /> co N <br /> o o w <br /> Project Number: P.O.No: EDF Deliverable To(Email Address): CO °� o n x c <br /> m - <br /> N m m N a r a`3 O <br /> Project Name:(/�SA i lop <br /> Sampler ' nature: Ui � m F m 0 - c <br /> O _N <br /> co = = O OD J N (0 <br /> Project Address: Sampling C ain Preseryative Matrix o w a a N N v $ m L <br /> o c� IL <br /> Wb O V <br /> f_ > <br /> W LLI _ m Z F -� X m m C7 S'c' �c 'D co <br /> E w O <br /> o � U Z V O Q O F Q ❑ n. O O O O a o m <br /> Sample Designation Date Time v X X _ z m m r r J w > <br /> / ! <br /> 'oo/� 2 a� <br /> o� <br /> G�( <br /> o5 <br /> GG <br /> A 106 <br /> S- <br /> Relinquished by: Dat Time Received by: Remarks: <br /> R quished Dat Time Re ived by: <br /> Relinq hed by: _ Date Time eceiv d by Laboratory: Bill to: <br /> Formslcoc 121001.th9 <br /> Distribution: White-Lab, Pink-Originator <br />