Laserfiche WebLink
i <br /> 2795 2nd Street,Suite 300 I <br /> Davis,CA 95616 <br /> F*o Lab 530 297 4" <br /> ANALYTICAL"c Fax 530 297 4808 Lab No S S� Page 01 L <br /> Pro et(Hardoo y ar PDF To) California EDF Report? Yes ❑No <br /> u.e.i` Chain-of-Custody Record and Analysis Request <br /> Com ny/Address Rwmw nd,deL#nct ►+ ttds <br /> tDie <br /> I % <br /> ,.� Sampling Company Lop Cede Analysis Request <br /> ne No F No Global[D .C f . <br /> /C, 3 2 m x <br /> �, o $ Uj <br /> Uj <br /> Probed Number P O a E Dsl is Toa(Eail ddre: ) � � � <br /> •44 rL N N '( m 3 Q <br /> Pro Nae Sampler Signature C..C/ $ m mW C7 GO a m <br /> 4nve Lu <br /> o Uj CJ •C W N <br /> o pp 8 Z5 Q tl A M <br /> Prosect Address V CO <br /> Sampling Container Preservative Matrix m r5 N w <br /> Q m t9 a Q '° n $' m & V `n <br /> p w o o S m a c o0 a g a <br /> O N t <br /> D >_ > Ti iS m m m = v <br /> 111 O Z F �'` N A <br /> W 0 <br /> u� x x x Ox m Q m $ <br /> Sample Desi natFon Dais Time v n a = z 3 rn m m ,� �, ,� w <br /> v.9 _ K 'Xi hCo <br /> X x X o <br /> I <br /> X IX 'XI <br /> o3 <br /> I FT I <br /> Relinquished by Date Time Received by Remarks <br /> Aj&ez tOf 1 5 <br /> Relinquished by Date Tune Received by {.�LGt Saw �-- <br /> Relinquished by 101 Dot� TwrALI Recollipi by,Laboratory 1/ Bill t9 � <br /> ke*, <br /> Drsfnbubon Whde-lab, Yellow-File,/ink-ongina&w Fomw/ooc 121001 W <br />