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2795 2nd Street Suite 300 <br /> Davis,CA 95616 �(� 3 <br /> Lab: 530.297.4800 Lab No. V Page 1 of 1 <br /> ANAL YT/CAL ccc Fax:530.297.4808 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? 21 Yes ❑No Chain-of-Custody Record and Analysis Request <br /> Rich Johnson <br /> Company 1 Address: Recommended but not mandatory to complete this section: Analysis Request Q <br /> Apex Envirotech,Inc. Sampling Company Log Code: H <br /> 11244 Pyrites Wy.,Gold River,CA 95670 <br /> Phone No.: Fax No.: Global ID: LDQ 12hr <br /> v <br /> 916-851-0174 916-851-0177 70607700183 co <br /> Projecumber: P.O. No.: EDF Deliverable To(Email Address): in in m 10 o 24hr <br /> t N <br /> ERA02.004 riohnson@@pexenvirotech.com NN N ElO <br /> Project Name: Sampler .a m V7 YS N CN n- .< 48hr <br /> ix zMoore Petroleum Signature: ,Z--T / m m in in Q N O a <br /> 0 C5 m w a _J <br /> Project Address: Sampling ContainPreservative Matrix m _ = N N <br /> N 72h <br /> r 3 <br /> aa. C <br /> O � ` " a p <br /> N W N N O <br /> Q LLo 1wk <br /> nt ,C5491 F Street,Ba <br /> a W � tY m a m v a0i v `c w y04 0 <br /> w } W g M LU LL tNa m 0 rn W m C, N m w <br /> Sample o o c� z 0 a a o r +- a- a. a- o o a o 0. 5 2wk <br /> Desi nation FPT Name pate Time v rn o ¢ I- = z _ z rn ¢ CO m h r t- ti ti w > O <br /> VGACEFF VEFF f-Z2-05 i?_?ClX X X X 1 wk O j <br /> VGACMID f-Zz u� X X I X X 1 A 02- <br /> VEWMAN VINF -22 1 ZVL) X X X X 1 wk <br /> Relinquished by: Date Time Received by: Remarks: <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: Date Time JR,ce d bbyLratory: / IL Bill to: <br /> a9�30 ;033 �. <br />