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2795 2nd Street Suite 300 <br /> JtAAIV�A <br /> � Davis,CA 95616 <br /> Lab:530.297.4800 LabNo. L i] Page 1 of 1 <br /> LYT/CAL Lcc Fax:530,297.4808 <br /> Project Contact(Hardcopy or PDF To): California EDL' Report? F1Yes []No Chain-of-Custody Record and Analysis Request <br /> Rich Johnson <br /> Company/Address: ecommandod but not mandatoy to complete this section: Analysis Request Q <br /> Apex Envirotech,Inc. Sampling Company Log Code: 1-- <br /> 11244 Pyrites Wy.,Gold River,CA 95670 <br /> Phone No.: Fax No.: Global ID: Q 12hr <br /> O <br /> 916-851-0174 916-851-0177 70607700183 o m _ ui <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address): co m m m m 3 24hr <br /> ERAQ2.004 flohnson@apexenvirot ch.com � A N N w Cl <br /> O <br /> Project Name: Sampler C2. V y N Qa 48hr <br /> Moore Petroleum Signature: m m 0 0 m m a "' ° O M <br /> Project Address: Sampling Container Preservative Matrix _ a a� ' _� N 72hr <br /> _ R ° m O o <br /> US <br /> 5491 F Street,Banta,CAO tL a i7 1 wk <br /> m m m m > 19 N <br /> Sample E w e m o o z - io ° a o k <br /> J O to U z � 0 a 0 i— a = a 'O 6 O O m a o m 2wk <br /> Designation FPT Name Date Time m o- ¢ i-- x x �? z 3 to a m m r- to r- to r~ � w O <br /> VGACEFF VEFF 07 36 OWl X X X X 1 wk <br /> d fog <br /> VGACMID X X X X 1 wk ,V--T <br /> VEWMAN VINE X X X I I X 1 wk �Z <br /> d <br /> Relinq hed b . Date Time Received by: Remarks: <br /> Ilk <br /> Relinq shed by. Date Time Received by. <br /> 'd 4fte'L'ra k kkk"., W Vy 01A QUI-1- <br /> Relinquished by: Date Time Received by-Laboratory.- Bill to: <br /> 0 <br />