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720 Olive Drive, Suite D <br /> Davis, CA 95616 <br /> ANALYTICAL LCC Lab 530 297 4800 <br /> Fax 530 297 4808 Lab No Page at of <br /> Project Contact(Hardcopy or PDF To) California EDF Report? <br /> E-1 Yes E�]No Chan-of-Custody Record and Analysis Request <br /> Company/Address �,q„ but not 3toryto thissetbon <br /> Sampling Company Log Code <br /> Analysts Request <br /> Phone No FAX No <br /> GtoballD � V <br /> q/63S 3.2 5-o qld 3SV /7& m m W i- <br /> Protect N�mber P Q No W <br /> EDF Deliverable To(Email Address) 2 V <br /> cCm o N � o <br /> Protect Name Sampler SE nature - m m m a 0 <br /> C W us W m y p T W d r UI <br /> Protect Address = 2 �r U N <br /> Sampling Cont ner Preservative Matrix _ d F w °0 J -e N i <br /> Lu N z76 <br /> w w r ° y m m d ° o = t uQ. <br /> Sample Designation8 co <br /> ° w F X `0 " mDate Tlme 2 2 U I 4 a a 0 0 O d y d o m r <br /> Cp r1J M f- F- io r. Lo W > N <br /> wc�L - o 11 3 <br /> Relinquished by Date Time Received by <br /> Remarks <br /> Resin he Date Time Received by <br /> Relinquished by Date Time Received by Laboratory <br /> Bill to <br /> �$ 3oz 9z �d �r1 Gc <br /> Distribution White-Lab Yetlow-Frle Pink Ongrnator <br /> Formslcoc 121001 fh9 <br />