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AE4�:KCAL <br /> 2795 2nd Street Suite 300 <br /> Davis,CA 95616 <br /> Lab: 530.297.4800 Lab No. S y0q rage 9 of 1 ccc Fax:530.297.480$ -- <br /> Project Contact(Hardcopy or PDF To): Califorrila EDF Report? (p res ❑No Chain-of-Custody Record and Analysis Request <br /> Rich Johnson <br /> Company I Address:.. Recommended but not mandatory to complete this sect}on: <br /> Analysis Request <br /> F . <br /> Apex Envirotech,Inc. Sampling Company Log e: H <br /> 11244 Pyrites Wy.,Gold River,GA 95&70 <br /> Ph <br /> one o.: Fax o.: Global i 12hr <br /> 916-851-0174 996-851-0177 T0607700183 co W ui (� <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address). m m m o P4hr 21 <br /> O O O C <br /> ERA02.004 r ohns exenviratech.com N j° N w o O <br /> Project Name: Sampler m `� ° m m r a ahr <br /> Moore Petroleum Signature: Co o F o a ¢ - y o <br /> Project Address: <br /> Sampling Con a' er Preservative Matrix - a a N o =' hr <br /> 4`� a6 ap N <br /> m N O ll! 0�9 N u1 N r S CD <br /> L M O 0 <br /> 5491 F Street,Santa,CA ¢ m t' �' �' `� LL <br /> 0j W ir !r $ c c c ' o `cc v 1Wk <br /> Sample FPT >- U3 : w ui c� m o, m �, N O <br /> o u) O w U z 0 zz ¢ O a F P a. a- a. 0 0 0 0 m a 5 m Ok <br /> Designation Name Date Time uy Q ¢ t- _ z � ¢ m m F n J � <br /> VGACEFF VEFF 'OAS' )2'fO X X I I X I X <br /> ` �-�S �ZSO 1 � <br /> VGACMID � <br /> X X X I I I X 1wk pZ <br /> VEWMAN VINF 8`l X X I X X 1 wk QS <br /> Relin ed by: Date Time Received by: Remarks: <br /> Qis 2OG <br /> Rel u shed by Date Time Received by: <br /> Relinquished by: Dat7e Time Received by Laboratory: Bill to: <br />