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MM mm M Nome" so <br /> 720 Olive Drive,Suite D <br /> /FF Davis, CA 95616 <br /> Lab 530 297 4800 <br /> ANALYTIGAL tcc Fax 530 297 4803 Lab No Page I of 2 <br /> Project Manager Phone No <br /> J'a.e R at a e (9 3 5 -31 s o Chain-of-Custody Record and Analysis Request <br /> Company/Address FAX No <br /> t— For Lab <br /> a""t a 1=hY t r a p►tit r►t a (416 3 5 It- 1 S Analysis Request �4- Use Only <br /> Project Number P O No Project Name co � � WET(x) <br /> m <br /> Project Location Sampler Signature o TOTAL(X) N x <br /> 5T Ca��tot�c C���t�t^ 2i - = °° �1 <br /> Containerco Method o o o C14 <br /> Sampling (TypelAmount) Preserved Matrix _ g CC m N N z L <br /> M co <br /> O o y ° <br /> O ai dtr <br /> coo - ai aa) of M cin ti d <br /> Sample E W 0 E o z s 00 OD <br /> Designation Date Time 'V � r z = U °z m m 0 0 0 w W . CIA <br /> - <br /> CPT IA - 10 X ISI I IX XI I 1XI —pl <br /> C PT to - 20 900 l X x <br /> GnCiA - 3a 1910 I X S X X <br /> CPT I A - 40 9201 I X S x X x -- ) . <br /> GPT IA - � 930 A 5 X X X �. <br /> CPTIA - 6O 940 1 S x X X -L)(0 <br /> CPT IA - 10 95S I X S X x X -- <br /> LPT IA - 80 1070 1 x S X X X — <br /> G PT I A • 9Q t o4o I X S X K X _0q <br /> 1105 1 X X x X <br /> Relinquished by Date Time Received by Remarks <br /> Relinquished by Date Time Received by Email address <br /> ❑ doc ❑ xis ❑ txt ❑other <br /> Relinquished by Date Time Received by Laboratory B111to RgVA It Fvt v' mt t a <br /> -- )&L a I s y�I O eUm��Llr a�(�w�..l F 0. 60A 8 69 1��+�z h� M�+��aid f Gly 9 6 8 <br /> Distaburron White Lab Yellow-Erle Pink-Originator COC M(9198) <br />