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S}. <br /> 2795 2nd Street, Suite 304 <br /> Davis,CA 95616 <br /> Lab: 530.297.4840 <br /> ANALYTICAL LLC Fax: 530.297.4808 Lara No. Page of <br /> Project Contact(Hardcopy or PDF To): California EDF Report? EJ ❑Yes No <br /> �e Chain-of-Custody Record and Analysis Request <br /> Compan IAdd ess: t tE92mm!2d! Anot to tt�ssedion: <br /> �ah�, sampling company Log code: Analysis Request . <br /> Phone No.: FAX No.: Global ID: m x <br /> 9zS-xia-f39J - �, m C W <br /> P 3Z `+m7'ber. P.O.No: EDF Deliverable To(Email Address): _ _ m <br /> 1 m m W X C <br /> Project N me: $am ler ignature- m - a <br /> �� a m � .6 w 0 r <br /> Project ddress: <br /> Sly &*..t 1):o- Sampling 4 Contains or" Preservative Matrix z _m m N S "' W <br /> 7 G O a 0 G L C oN LLL <br /> qr <br /> E W O 2 fL F m � X m <br /> Sample Desi nation z '� 0 a o _ _ = W a a = <br /> Date Tlma $ v) x U z va m ~m <br /> -L 11SO I -az <br /> -�3 <br /> �nW- <br /> Ki -� <br /> Relufsh by: Date Time Received by: Remarks: <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: Date Time Received by Laboratory: K•M Bill to: <br /> DlsMtrurion: tNhRe-Lab,Yellow-Fife,Girtk-Oreglnalor ` + <br /> Foemstom 121001.th9 <br /> i <br />