Laserfiche WebLink
i <br /> r = j= r rr r r ilr rIL <br /> r r r r r r iw r <br /> 2795 2nd Street, Suite 300 Iw <br /> Davis, GA 95616 <br /> Lab 530 297 4800 f <br /> ANALYTICAL LLC Fax 530 297 4808 Lab No 7't 6�- Page L or <br /> Project Contact(Hardcopy or PDF To) California EDF Report? ❑ Yes ❑No <br /> Chain-of-Custody Record and Analysis Request <br /> Compan (Address Rowmmen Wbutnot ma2d#my to 2pirripk§Msection <br /> Sampling Company Log Code ~ <br /> 1'a-6v)e 86 oN� Mar coo 1-4 F56F3 Analysis Request � <br /> Phone <br /> No FAX No S7 //� /7 4 Global ID m x <br /> if/aJ ✓�y� vi7d /(G� r/�/ _i/ Ui (0 ( N W <br /> 04 <br /> Project Number PO No EDF Deliverable To(Email Address) co ?? CO o s+ <br /> N _ <br /> 0 O <br /> ccProjec'tTName / �i / 1 Sampler Signature f "' N m °� a o N <br /> 54'h Jd? ld n Ll{4al c C C i�� LLi 4 o w m m o QD o < N W <br /> thMc- Q..� o3 _ _ = co CNI� a O N <br /> Project Address a a J O N r <br /> s G Sampling Container Preseryative Matrix y o N v m <br /> h Q m i9 o d a��i LL <br /> m o N v p <br /> IV <br /> LU O t1 y C C C C y p itl N t V. <br /> E w O w Z ¢ C7 °' T <br /> 2 T x m C t <br /> Sample Designation Date Time a c(n z z z o m m M M M ° ° ° ° � cau <br /> /`7 s y Y S X X X O <br /> -7 6� <br /> Refmqu shed by�` Date Time Received by Remarks <br /> Relinquished by Date Time Received by �+ <br /> Relinquished by Date Time R ceived by La orato Bill to <br /> Otll`tv� fSr15 .� KN t /� •f c� f /`G�+,afe `•�r� TdS�� /�aufc� <br /> tc <br /> Distnbution White-Lab Pink-Onginator Formstcoc 121001 fh9 <br />