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IFF 2785 2nd Street Suite 300 <br /> Davis,CA 85878 <br /> Lab:530.297.4800 Lab No. Page 1 of i <br /> ANALYT/CAL ccc Fax:530.297.4808 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? E]yes No Chain-of-Custody Record and Analysis Request <br /> Rich Johnson <br /> Company)Address: *commended but not mandatory to complete this seclton: Analysis Request Q <br /> Apex Envirotech,Inc. Sampling Company Log Code: <br /> 11244 Pyrites Wy.,Gold River,CA 95670 <br /> Phone No.: Fax No.: Global ID: ❑ 12hr <br /> 916-851-0174 916-851-0177 T0607700183 �+ <br /> to m <br /> O <br /> o ui <br /> Project Number. P.O.No.: EDF Deliverable To(Email Address): m m 3 24hr ?` <br /> ERA02.004 <br /> dohnson@a2exenvirotech.com N ° n w❑ <br /> co <br /> Project Name: Sampler � ui °� m w a ¢ 48hr n <br /> Moore Petroleum Signatue _m � o N $ NFQ-1 <br /> UJ <br /> M <br /> to a C Q ohm9OmQmNProject Address: Sampling Container Preservative Matrix = a 8 aJ = <br /> Co � 72hr <br /> W n <br /> � - w L O <br /> 5491 F Street,Banta,CA n — O <br /> LL <br /> O W rr a O 7 = c c c ' o '* N 1 Wk <br /> Sample ' ; } �, � W w o Co ro m � iA � <br /> LU -J <br /> Designation o -J 0 w c3 z w O a o ¢ _ _ X o 0 0 6 a o R 2wk <br /> Date Time a rq d Q ► U z rn > m m n w <br /> 1 01 <br /> A-1021 -EFF � � Jr. o X X I X I X I 1 1 wk <br /> 1 A- o / -INF X X X X 1 wk a <br /> Rel d by: Date Time Received by. Remarks: <br /> Relinquished by: Date Time Received by. <br /> Relinquished by: DateTi4Reced by Laboratory: Bill to: <br /> vyY` <br />