Laserfiche WebLink
2795 2nd Street,Suite 300 <br /> Jri� <br /> � Davis,CA 95616 <br /> [ab: 530.297.4800 <br /> NALYTICAL ccc Fax: 530267.4808 Lab No. Ll of <br /> Project Contact(Hardcopy or PDF To): California EDF.Report? E:1 Yes o <br /> sot)0t ) Chain-of-Custody Record and Analysis Request <br /> Company Address: Roompg rdadbutnd t N*wdiorc <br /> APE E-m 1�12a7`iFGf�F Sampling company pe code: <br /> Analysis Request <br /> Phone No.: FAX <br /> /No.: <br /> Global ID: <br /> fb X <br /> ui W Tc.1 <br /> m <br /> o W mPraect Number: P•O• No: EDiF Dell r ble To(E Address): m o <br /> W N X A <br /> W n <br /> Proj�ejc}tN,ame: ) Sampi Si at m _m `_" a r # o <br /> 1/KNl'G f'til i'0 I'WM W 'S m w m M � -a — w 0 <br /> {, m L <br /> Project Address: a s N N O J O n <br /> G� Sampling Cantai r pe servatirre Matrix � a , m �, .N. L <br /> Q a <br /> >_0 <br /> W � 2 tp o m W m m N L <br /> W n W W m w m m m m m � _ r LL <br /> W O 2" H -� Q co m C7 rn N r m v c <br /> b J U z U O Q p F a a a d O a •� m r` <br /> Sample Designation Date Time a rn z z _ z m F h h j r <br /> A jojv3 I of <br /> 166_1 IN r- 161-63 <br /> Relinq ish d Date Time Received by: Remarks: <br /> 6140 <br /> Relinqu he Date Time Received by: <br /> Relinquish Date Ti Rece- by ratory: Bill to: <br /> Distribution: Wh -Lab, Yellow-File,Pink-Originator <br /> Forms/coc 121001/0 <br />