Laserfiche WebLink
KIFF 2795 2nd Street,Suite 300 <br /> Davis,CA 95618 <br /> Lab: 530.297.4800 <br /> /qSRO#I Lab Na. Page _ of <br /> nX l iu Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? Ores No <br /> Mh�a sere, n Chain-of-Custody Record and Analysis Request <br /> �u <br /> Company/Address: Sampling Company Log Code: Analysis Re uest TAT <br /> C%cAL '1 G" 0` '^ t t t CIRCLE METHOD ❑ <br /> Pho a }rjnber I D C Global ID: 12 hr <br /> F u ber. EDF Deliverable To(Email Address): ❑ C <br /> G - 4 7 7 <br /> P at# P.O.#: BHI to:rg:k� AL T ti C a — 24 hr a <br /> et - 1q Z64IG n n <br /> Project Name: Sampler Print Name: G _ o ❑ a <br /> cat Y%I(A TJ&UAL 48hr <br /> Sampler Signature: w 4 ,i <br /> Project Address: Sam Aing Cbritalner I Preservative Matrix w _ � � � A 2 W � u� a 0 *' g V �'j ❑ <br /> 2� 'V �tSlt1 m N tG v 72hf <br /> p pp N � d' � <br /> vA <br /> .19 <br /> o i3 z° - ® � = x w 2 1 wk <br /> E <br /> Sam Designation Date Time P N d. i3 Y = Z n -' > 7 � e ~ 3 <br /> <_rC_ <br /> CT C-- e .Z ,0o, <br /> G� C' <br /> Clc_ — v LA ifr7- <br /> GlC— O 5 rr tr <br /> 0'2 <br /> L . Cb <br /> ItTi <br /> Rellnqu`lpby Date Tine Received by: Remarks: <br /> 711 M0 1"21 <br /> efinquished by. Date Time Received by: <br /> eHnquisited by: Date Time Received by Labors <br /> Dierrf Won: WtQte•Lab;Pink-Originator <br /> Rev:060404 <br />