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2795 2nd Street Suite 300 <br /> . vF Davis,CA 95616 <br /> Lab:530.297.4840 Lab No. <br /> ANALYT/CAL ccc Fax:530.297.4808 Page 1 of 1 <br /> Project Rich Johnson <br /> (Hardcopy or PDF To): California EDF Report? Dyes ❑Ivo Chain-of-Custody Record and Analysis Request .. . <br /> Company 1 Address: ecw+emended but not mandatory to complete this section: Analysis Request Q <br /> Apex Envirotech,Inc. Sampling Company Log Code: <br /> 11244 Pyrftes WY.,Gold River,CA 95670 H <br /> Phone No.: Fax No.: Global 113- <br /> 916-851-0174 <br /> D; °0 i2hr <br /> 91fi$51-0174 916-851-0177 7700183 $ O <br /> Project Number P.O. No.; Ld <br /> EDF Deliverabl o mail Address): 3i <br /> ERA02.004 r'oh o a e com 9 m o o 24hr <br /> Project Name: Sampler ,� y 2 N a ❑ 0 0 <br /> Moore Petroleum Signature: w ,� S w o 0 w � 48hr <br /> Project Address: Sampling C n i Preservative Matrix co �_ a z 8 8 a �_ 72hr <br /> o� O co N <br /> 5491 F 5treet,Banta,CA QO N c y ,�' Q U- <br /> w a o iti a is r 1 wk <br /> ' S o <br /> Sample w �, w w q 1° m m I$ <br /> P w ❑ O z !— J X cn C7 a �° m m m n <br /> v -, O 2 w `U z w 0 Q O w w a a o 0 o O m a o 2wk <br /> Designation FPT Name Date Time a ¢ i— U Z N ¢ m m IL CL 0 0 W o <br /> VGACEFF VEFF ��Z'O5 :04 X X x X <br /> �` i wk <br /> VGACMID VMID ]Z'dS 1210 X X X X <br /> 1 wk pz. <br /> VEWMAN VINE - O X X X X <br /> 1 wk 03 <br /> Re by Date Time Received by: Remarks: <br /> UL -05 S <br /> ell i ed by Date Time Received by: <br /> I R i i had by. Date Time Received by Laboratory: Bill to: <br />