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V2795 2nd Street Suite 300 <br /> bavis,CA 9561B <br /> Lab:530.297.4800 Lab No. 44 3 17a Page 1 of 1 <br /> NALYT/CAL ccc Fax:530.297.4808 `— <br /> Project Contact(Hardcopy or PDF To): California EDF Report? p Yes p No Chain-of-Custody Record and Analysis Request <br /> Rich Johnson <br /> Company I Address: ecommended but root mmxlaw.y b,compete this*coon; Analysis Request <br /> Apex Enviratech,Inc. Sampling Company Log Code: <br /> 11244 Pyrites Wy.,Gold Rarer,CA 95670 <br /> Phone No.: Fax No.: Global ID: �, Q 92hr <br /> 916-851-0174 916-851-0177 0607 183co <br /> _ ui <br /> Project Number. P.O.No.: EDF Deliverable (E II Address): m m m m 3 24hr �' <br /> ERA02.004 ohn o exenvirotech.com m o $ $ w [ O <br /> N m N a <br /> Project Name: Sampler o c 48hr a <br /> Moore Petroleum1 signature: Ui <br /> w <br /> Project Address: Sampling Conti r Preservative Matrix o Q x m N � r o <br /> 5491 F 5lreek Banta,CA p N z �' a c c n Q N 1wk <br /> a F5 2 <br /> Sample E z lw– �_ to m o `� o p G <br /> p O W U z V 0 ¢ O 5 H x 4 0 0 0 0 as o Q <br /> Designation FPT Nam Date Time US a ¢ z x z v� ¢ m m <br /> VGACEFF VEFF X X X X 1 wk D i <br /> VGACMID / X X X X 1 wk p;t <br /> VEWMAN VINF - QT� X X X X 1 wk O <br /> r .. <br /> $elincii ish Date Time Received by. Remarks: <br /> 11,15 - GRCI11 D PPHN E -� V10 <br /> Relinq is Date Time Received by: <br /> Relinq by: Date Time Received by Laboratory. /� I r Bill to: <br /> 0&10105 1715 � � > ;f-r f1Y'►al} 4,caf <br />