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Cal Science Environment �r- <br /> KIFF � <br /> Davi Second Street, Suite 300 avis, CA 95616 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove, CA 92841 <br /> Analytical LLC Fax: 530.297.4808 714-895-5494 Lab No. 47601 Page 1 of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? _Yes _X-No Chain-of-Custody Record and Analysis Request <br /> Troy Turpen <br /> Company/Address: Recommended but not mandatory to complete this section: <br /> tU <br /> Kiff Analytical, LLC Sampling Company Log Code: Analysis Request o <br /> 13 <br /> Phone No.: FAX No.: Global ID: <br /> Project Number: P.O. No.: EDF Deliverable to(Email Address): o tC <br /> 050T.50224.00.0003 476010 Z. <br /> o <br /> Project Name: E-mail address: CV O <br /> to <br /> PG&E - French Camp inbox@kiffanalvtical.com X o � M" <br /> Project Address: W 2 N c <br /> Sampling Container I Preservative Matrix p -a J <br /> c <br /> ca <br /> Sample N �, M W ° W U. <br /> to T a O LU Z t'n J V) <br /> Designation Date Time 0 a° a = _ z z 3 S <br /> S13-1 / S13-1 @2' 12/20/05 1015 1 X X X X <br /> Relinquished by: - r / Date Time Received by: Remarks: * Sample expires 1/3/06 <br /> ** Please do extraction only, hold <br /> Relinquished Date Time Received by: analysis 'U <br /> t.Q <br /> Relin ' hed by: Date— Time Received y Laboratory: Bill to: (D <br /> 3, 6S /a,� �' Accounts Payable 00 <br /> 0 <br /> ` c0 <br />