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2nd Street, Suite 300 <br /> Davis.CA 95618 <br /> Project Contact(Hardcopy or PDF to): Lab: 530297.4800� �, <br /> R. Smith �(f <br /> EDF Report?. ®Yes Lab No. Page �of <br /> Company/Address: �No <br /> HORIZON ttecommended but nol mandatory to complete this section: Chain-Of-Custody Record and Analysis Request <br /> Sampling Company Log Code: <br /> Phone No.: FAX No.: DE10 <br /> 939-2170 Global ID:939-2172 TUfi077U0492 Analysis Request <br /> Project Number: P.O. No.. � <br /> 3841 Stockton !!4 EDF Deliverable to(Email Address): u' o <br /> 3641-� +'smith@horizonenvironmental.net g mto 00 W <br /> Project Name: Beacon <br /> Project Address: °0 0 o <br /> w <br /> Sampler Signature(below): Stockton 1 $ OD <br /> ` m _N ¢ O <br /> W ui 'o W a d c6 .aw.. H <br /> Project Address: 2 m o a q N a <br /> Sampling Container Preservative Matrix � � p � � � � N N S <br /> -7-----T <br /> b = m O m imp ±o is j m o <br /> 0 0. O 2 a C C C m fV L UL <br /> W n of r O0� 0 <br /> 5a le Desi nation o w °z w o a " x m m <br /> Date Time v rn x x z rr0i r a a a o o 0 a- <br /> >11'° w <br /> m m a r- r vs n u, n w .mi <br /> r g-� <br /> Relinquished by: Date Time Received by: <br /> 0$010 ' Remarks: <br /> rr�y <br /> Relinquished ate Time Received by. <br /> Relinquished by: Date Time Receiv,pd by Laboratory: <br /> aqa� f!M •� <br /> $iii to: <br /> OisfrfbutkMr'; :4fe-Lab, Hrtk-Orfgfnafor F> <br /> r;"Shot 121001.fh9 <br />