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2795 2nd Street, Suite 300 <br /> Davis,CA 95616 <br /> Lab: 530.297.4800 1 <br /> ANALYTICAL ctc Fax: 530.297.4808 Lab No. �l 39 <br /> Page of <br /> Project Contact(Hardcopy or.PDF To): . California EDFReport? _ <br /> - � Y. No . <br /> A JDA Chain-of-Custody Record and Analysis Request <br /> C mpany/A dress: , „a Viele yam section: <br /> Sampling Company Log Code: <br /> Analysis Request <br /> Phone No.: FAX No.: Global Ip: - - _ - Ti . <br /> 00 coo <br /> rojecl Number: PONO EDF Deli able Yo nail Address} 2 Ui <br /> N X C <br /> Projwec�t Name: j__ Sampl r g u $ �i � � ¢ � CD <br /> 4 O <br /> ,f�!DO i�G T/(JIel1/'VI `� o � w c� c� q CO <br /> ¢ W L �6 <br /> Project Address: m x z <br /> +v v <br /> _ "M <br /> tCwl�fVi <br /> Ch D-Co a Preservative Matrix y o C w-- ° 7 m <br /> O �v Y m o c0 m `m m �° O <br /> _> > tx m r] yC a > r8n t v � LL <br /> UJ X <br /> Sample Designation Date Time v T = Zt v z ►�- n= 4 0 0 0 0 m a c L <br /> t! 0 - . . <br /> 096 0 - IQ <br /> 0 <br /> Relinquished by: Date Time Received by: Remarks: <br /> Relinquished by: Date Time Received by: <br /> Relinquish�b , Dale T" Ree ed b boratory, t/ ' Bill to: <br /> Distribution: White-Lab, Yellow-File,Pink-Originator <br /> Formslcoc 12100I.th9 <br />