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2785 2nd Street Suits 300 <br /> Davis,CA 95616 U <br /> Lab:530.287.4800 Lab No. 39 64Y7 7 Page 1 of 1 r <br /> ANALYTICAL LLc Fax:530.297.4806 — — <br /> Project Contact(Hardcopy or PDF To): California EDF Report? ❑Ye No Chain-of-Custody Record and Analysis Request <br /> Rich Johnson <br /> Company/Address: ecommended but not mandatory to complete this section: Analysis Request Q <br /> Apex Envirotecti,Inc. Sampling Company Log Code: <br /> 11244 Pyrites Wy„Gold River,CA 95670 <br /> Phone No.: Fax No.: Global ID: o 12hr <br /> 918-851-0174 918-851-0177 T06/0 83F-: <br /> w <br /> Project Number: P.O.No.: EDF Deliverable To ma' A dress): _g m }, <br /> m m m a 24hr <br /> ERA02.004 r'ohnso xe virotech.com m o 0 � w N Q O <br /> Project Name: Sampler W a <br /> Moore Petroleum o N a 48hr n <br /> Signature: w ii o w .� a <br /> O <br /> Project Address: Sampling I ant in Preservative Matrix _ Z z 72hr <br /> ,"rt a b N N ❑ _ N <br /> _ O YZ ay ao N O .. <br /> 5491 F Street,Santa,CA �¢ m nti 3 r Q <br /> A? o ` ti <br /> Sample > wk <br /> > Cr 9 8 _ 1© <br /> E W o z FW o c m m N i✓ <br /> o -� o w 0 z w o a o a o �` o ¢ m 2wk <br /> Date Time tl 1-- <br /> Designation Z = _ z � rn > m m � � t- U-A r` M t- LU O <br /> A- 0A rZ -EFF X X X X 1 „k O 1 <br /> A- Z -INF O�ay JoX X I I X X <br /> Reil is y Date Time Received by: Remarks: <br /> 0101 .a <br /> Rei nqu Date Time Received by- <br /> Red Date Time Received by Laboratory: Bili to: <br />