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,�� 2795 2nd Street Suite 300 <br /> Davis,CA 95616 <br /> Lab:530.297.4800 Lab No. {p Page 1 of 1 <br /> ANALYTICAL cs c Fax:530.297.4808 <br /> Project Contact(Hardcopy or PDF To): Callfornia EDF Report? [�]Yes No Chain-0f-Custody Record and Analysis Request <br /> Rich Johnson <br /> ompany I Address: mmendW but trot mandamry to vam lea this section: Analysis Request <br /> Apex Envirotech,Inc. Sampling Company Log Code: H <br /> 11244 Pyrites Wy.,gold River,CA 95670 <br /> Phone No.: Fax No.: Global ID: Q 12hr <br /> 916-851-0174 916-851-0177 T06 3 m ui <br /> Protect Number. P.O.No.: EDF Deliverable To m Address): m m m m 3 24hr <br /> ERA02.004 riohns a xenvir ch.como O <br /> Project Name: Sampler $ >nn °� ;� 48hr a <br /> Moore Petroleum Signature: w ru .9 m im 'tl ,. '� o .0 <br /> Project Address: Sampling Co tai Preservative Matrix m m a a N O r <br /> y 16, <br /> c N N m LL O _� O tL <br /> 5491 F Street,Santa,CA wk <br /> p W N x ❑ m m Cc M m o m N Q <br /> tY <br /> � = a <br /> Sample E W a m 0 o w z ¢ -' _ _ m 2wk <br /> Designation FPT Nam Date Time a w tL ¢ Y = �? z (0 a m m ti �, �. o .5 w S O <br /> VGACEFF VEFF S � X X x X 1 wk �r <br /> VGACMID X x x X 1 wk oSI<I <br /> VE=WMAN VINF x x x x 1 wk bZ <br /> Reli qui h Date Time Recelved by: Remarks: <br /> S� w 1� Q <br /> f Relinquis y Date Time Recelved by. <br /> k <br /> r Relinqul h Y. Date Time Received b�y/Laboratoryki0 Bill to: <br /> J <br /> �bai � �" '! .--LIy/-'c lc <br />