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�1 l <br /> 2795 2nd Street, Suite 300 <br /> Davis,CA 95616 <br /> •�� Lab: 530.97.4800 <br /> ANALYTICAL eec Fax: 530.297.4808 Lab No. Page of <br /> Project Contact(Hardcopy or PDF To): California EDF Report? V Yes ❑No <br /> r 60U(LW l S Chain-of-Custody Record and Analysis Request <br /> Company/Address: PwoortlrrterxWbut rx# m comphow this section: <br /> Sampling Co � lypp Code: y q <br /> JT +V 1/ (;r A F_ Analysis Request <br /> Phone No.: FAX No.: Global ID: Y <br /> 0 6-o - 6 d 8 n m m Uj <br /> N N <br /> Uj <br /> Project Number: P.O. No: EDF Deliv o(Email Address): '° m m o <br /> �[ E, <br /> Z• O co W W N X C <br /> N cp r N P] # O <br /> Project Name: Sample S' a re: _-.- m m m r m <br /> MOD" V /Y r W 8 m 111 m is p 'tl W t H <br /> p 2 m U' C� tO Q H m N <br /> m z X m N c a <br /> Project Address: N v <br /> t o f Sampling Goat frier Preservative Matrix o � 1 y y m r <br /> :' 4LLI <br /> 7 > 4 m 0 pn F C C m Q = (V r LL <br /> E O LLJ Z !L J X m m C7 r m rn m m N <br /> Lq >< x W Q <br /> Sample Designation Date 'Gime -4 tJn = _ � °z � O m � � � � o 0 0 4 w > <br /> 5- ;30 0 <br /> Relinquished V. Date Time Received by: Remarks: <br /> Relinquished b : ! Date Time Received by: <br /> Relinquished by: Date Time ceived by Laboratory: Bill to; <br /> P6 kJAIJAXI. <br /> Distribution: White-Lab, Yellow-Fite,Pink-Originator <br /> Formsicoc 121001.fhg <br />.-.—_�...-.��.....r.�- �4--�--����---A=------��- - - ----,-+�.«..-• ..-w..-. �- �-� .--���A-.rte ._, .��r.,. ,�_.rte -- <br />