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2795 2nd Street, Suite 300 <br /> Davis,CA 95616 <br /> Lab: 530.297.4800 I r <br /> ANAL /�:AL LLC Fax: 530,297.4808 Lab No, Page r of r <br /> Project Contact(Hardcopy or PDF To): California EDF Report? Yes ❑No <br /> !-r� Chain-of-Custody Record and Analysis Request <br /> Company/Address: RK*mffwndodbut not to ihiseecticrx <br /> Sam n L Code: C <br /> �� Sampling Company y °� ��" ' � - Analysis Request � <br /> Phone No.: FM NGlobal ID: x <br /> Ui <br /> K <br /> ject Number. P,O. o: EDF Deliverable To(Email Address): V 07 0 3;-fl r Nei h,# t Kew�i T vc�, 1. o W w w o <br /> Project Name: Sampler Si nature: pN N m m N Q a <br /> I i 1\ yy//�� m o °a w Q L m <br /> N U N y Project <br /> te- <br /> Project Address: <br /> Sampling Container Preservative Matrix o °� y N �; <br /> m C9 vii ? 03 <br /> � m m m @ <br /> J @ O 1Y1 [p Q <br /> V^[� N O LV L ll. <br /> K Cr �j M W i1,1 a' <br /> W O Z }_ X t0 m Ste[ x x K R Q a <br /> Sample Designation Date Time v n i z L) z m M a. M 0 o ° 0 � J <br /> �A �4 = X X x x' �r <br /> �uX - + K vL <br /> r <br /> I I TF. <br /> Reyn a y: ' Date Time Received by: Remarks: <br /> i° /7!)R Z6r� at, if (ors 44z;ud TA <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: Date Time by abo to Bill to: ---- __- <br /> {a <br /> Distribution: ab, Pink-Originator F 121001.ih8 <br /> Y r Y <br />