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2795 2nd Street, Suite 3W <br /> Davis,CA 95616 , <br /> Lab: 530.297.48W <br /> ANALYTICAL eec Fax: 530.297.4808 Lab No. �-� ��q _- Paye—. .of -r f <br /> Project on ct(Hardcopy or PQF To): California EDF Report? Yes ❑No <br /> t Chain-of-Custody Record and Analysis Request <br /> Company/Address: PA m wdsd W not mwwk to rr.2* - -- <br /> sampling Company Log Code: Analysis Re uest a <br /> �Yr �B7�t- �hv tJoNuu�ew � Y � � <br /> 'Phone No.: FAX No.: Global Ip: m I wCC) <br /> rft b �-Z 1�6 .Z( Z T- a too . . n .�. C V1 O 1 ON <br /> Project Number: P.O. No: EDF Dallversble To(Email Address): ` $ ° m o f '` <br /> --03q • b 1214 r I.wm 1e n n W m o <br /> Proj Name: Sampler S'4 Kea tur��:�]/ trot m m in a a <br /> lli�llwf o w U' U' o UJ <br /> Q N '" € �i <br /> _ 2 2 w N U V o I € rY Sa <br /> Project Ad ress: Sampling Container Preservative Matrix - n a N f t <br /> m C7 o m m m v m o <br /> to <br /> LL <br /> - E w — O z F <br /> W -� m ~ m io Q, N i m ti j i N t <br /> o U z w O a 0 - 2 x a o 0 0 m a m z <br /> Sample Designation <br /> Date Time rn s = z 3 m m �, �, <br /> :Ob 3 X X X X X o f <br /> IK )KK oa <br /> LE I I I <br /> Ralinal4ishI <br /> ate Time Received by: Remarks: <br /> go wA041?�DIJ '► 1� 3,, <br /> Reiinquistled by: late Time R teed by: <br /> Relinquished by: late Time Received by Labors ory: Bill to: <br /> Distribution: White.Lab, Pink-Originator FomW—c 121001-W <br />