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irr2795 2nd 5treat Suite 300Davis,CA 95816Lab: 530.297.4800Lab No.YT/CAL LLC Fax: 530.297.4808 Page 1 of 1 <br /> Prosect contact(Hardcopy or PDF To): Ct <br /> Rich Johnson California EDF Report? E]yes Q No hairs-of-Custody Record and Analysis Reques <br /> Company/Address: acornmended but not mandatory to complete this settlors. <br /> Apex Envirotech,Inc. Sampling Company Log Code: Analysis Request Q <br /> 11244 Pyrites wy.,Ga River,CA 95670 <br /> Phone No.: Fax No.: Global 10: _ <br /> 916-851-0174 C) 12hr <br /> 916-851-0177 TD 163 "' <br /> Project Number: P.O.No.: EDF D911verable T Addre7ss): m 2 w O <br /> ERA02.004 r'ohns m m co m o 24hr a, <br /> nviroiech.com N � � N O o <br /> Project Name: Sampler o r� y 0c1t Co <br /> Moore Petroleum Signature: mCo <br /> 48hr j <br /> Project Address- Sant IIn o m 0° 00 h e <br /> p ' g Contai reservat! a Matrix Co _ (0 Q <br /> a `ry° co n 72hr 1 <br /> 5491 F Street,Banta,CA m � m(D N O h C m "� 3 <br /> Sample w w X m Cq m m m .q 1wk <br /> F w a o z o <br /> Desi nation Date Tlme ) a F z x c_"i Z a o a � a. a 0 0 0 0 m ¢ '�° m 2wk <br /> u> > m m ►- t- M r- ko r• w � O <br /> V-GAC-EFF J[(`O �'D� X X X <br /> X 1 wk [s 1 <br /> V-GAC-MID 2�i'1-0q 14.10 X X X <br /> f r+ X i wk Z <br /> VI=WMAN Z"jY-�'f IO r� X X X <br /> X 1 wk 3 <br /> Rehnqul ed Date Time Received by: <br /> Remarks: <br /> 06 <br /> Refinqu sh <br /> Data Time Received by- <br /> Relinquished y Date Time Rec b rat <br /> BIII to: <br /> u�o�t lord �� <br />