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i <br /> 2795 2nd Street, Suite 300 <br /> .�� Davis,CA 95618 <br /> Lab 530 297 4800 <br /> ANALYTICAL LLC Fax 530 297 4606 Lab No 337 Page 1 of <br /> Project Contact(Hardcopy or PRF To) California EDF Report? [ ,Yes ❑No <br /> • Chain-of-CustodyRecord and Analysis Request, L* Ta -e <br /> Company/Address <br /> Sampling Company Log Code n. Analysis Request <br /> U <br /> Phone No b r[, FAX No �`l(„ G bail ID m <br /> e x <br /> W <br /> Project Number PO No EDF Deliverable To(Email Address) X?X X° to X a �+ <br /> m IAJ W NX C <br /> O CO <br /> N <br /> Project Name ,5 e,"Al ff Q cA Sam ler Signal "' m m m �, UU o r <br /> Cant LAG C �/ter �'2_ a o J C N r <br /> Project Address y z — N �, <br /> Sampling Container Preservative Matrix m m ' W N N iu _ MGo <br /> C7 w $ F m m O <br /> O o <br /> U e � om t ' om N <br /> ° <br /> W l CO <br /> Z V O 0 0 aSam le Designation Date Time -or n v 04 <br /> rN <br /> u. <br /> r ti w � <br /> y t -off. <br /> 6 s -03 <br /> M w 1310 —04 <br /> rl <br /> 1A W ly'11 -as <br /> !Y z5 -Oro <br /> /--I ut/—'3 c -0-1 <br /> V/- 1 irS <br /> _ Iy y i I-10— <br /> ell <br /> hed by Date Time Received by Remarks <br /> inquished b <br /> I <br /> Relinquished by Date Time Received by Laboratory 1-0 _Ar r Bill to <br /> oroa3a3 g = �• t��� � <br /> Distribution White-Lab, Yellow-File,Pink-Originator Formslooc 121001 fh9 <br />