Laserfiche WebLink
• <br /> 2795 2nd Street, Suite 300 <br /> Davis, CA 95816 <br /> Lab 530 297 4800 <br /> ANALYTICAL eec Fax 530 297 4808 Lab No PageorL <br /> Protect Contact(Hardcopy or PDF To) California EDF Reports I ! Yes No <br /> j� Chain-of-Custody Record and Analysis Request <br /> Company/Address ,deet taut not rnandatorYto compleW t us section <br /> Sampling Company Log Code M <br /> �-, V t ^ tv Analysts Request <br /> Phone No FAX No Global ID <br /> CJI ' `1id '�' Zl jo m m <br /> CEI <br /> Protect Number PO No l EDF Deliverable To(Email Address) C °0 ° m o 3 >, <br /> _ C3 W W N X �t C <br /> CO <br /> Project NameCU <br /> -�� o ry m m N ¢ a 0 <br /> 1 Sampler Si at {tom„ � m - <br /> li <br /> ` m CO m c7 C� Q w o <br /> Pro ect Address ~ a a v o o a <br /> Sampling C twiner Preservative Matrix o �, ry <br /> �i'Y1in�ti �_A►�� L <br /> 0 N W N N Y v U frY CO <br /> v m o N v <br /> TLu <br /> No z o m c o CO N t t� <br /> m a ca nC r c N@ m s, W W a� m m u O W Z F- X m m C7 x x x � w Sample Dest nation Date Time z z o m° a a a o 0 0 0 a Q )C,4 m fD F- i- N �n n �fi f` J W � J <br /> Relinquished by CvV; Date Time Received by Remarks <br /> Relinquishe Date Time Received by . <br /> Relinquished by Date Time Received by Laboratory A-Bill to <br /> Distribution While Lab Yellow File Pink Onyonafor Formslcoc 121001 fh9 <br />