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y <br /> 2795 2nd Street, Suite 300 s <br /> .�� Davis,CA 95616 <br /> Lab: 530.297.4800 `�f pZ`•Z <br /> ANALYTICAL tic Pax: 530.297.4806 Lab No. Page of <br /> P o'ect ntaiar p or Po :Toy: : California EDF Report? 0 res o <br /> 6 0 Chain-of-Custody Record and Analysis Request <br /> Company/Add ess: RecorrrrwwWbutnotmanda6o iocorryiewftsocftm <br /> Sampling P Company Log Code: f- <br /> �I ( C C Analysis Request <br /> Phone No.: FA4 No.: Global ID: m x <br /> o a N w <br /> �JPr-r'!7o[I�e�c/t}�Number:} P.O. No: EDF�verable (Email Address]: ��( ? m o 3 <br /> V' •7 o, V a m o W Ui k6t1 n�i v �c G <br /> c� m F-- <br /> ;3 f n m 3 O <br /> Pro ct Name: 5ampl S' n re' g m m ii m <br /> / aarc �elt'o%� � � oWM M m � � Wa <br /> o m [7 U o N U '^ c <br /> Project Address: M — t a n N m 0 N m <br /> Sampling Co in Preservative Matrix N r ; s h " <br /> �7 W o x m ° m m <br /> a o v c c c m U_ <br /> w w J m m (�� 4) 0 tM LU x r'n m m n <br /> p J U z w 0 Q O F d d a C O p 0 m a o 14 t <br /> Sample Desi nation Date Time v U) z z z cn m m r w > N <br /> h-IIID—[SIG IZ*/05 11-34 o <br /> � -lZ�dr N Z�✓ a311� SA0 I Y___t <br /> Reli ui y: Date Time Received by: Remarks: <br /> r tal VJ 1 S'35 <br /> Relir qui by: Date Time Received by: <br /> Relinqu by: Date Time Received.by Laboratoryjc � Bill to; <br /> t <br /> 1ST <br /> Mtribution: White'-Lab, Pink-Originator Forrnslc°c 1211)0i.fh9 <br />