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am aw am W MO <br /> 720 Olive Drive,Suite D <br /> IFF Davis,CA 95616 <br /> Lab 530 297 4800 <br /> ANALYTICAL LLC Fax 530 297 4803 Lab No Page '. of 'Z <br /> Project Manager Phone No <br /> 26e, Kati-► a tr ogtd) 3 -325 o Chain-of-Custody Record and Analysis Request <br /> Company/Address FAX No <br /> ►- For Lab <br /> RgNq a ClwtlP0%1ecti'q CAG) 354 - 1}$6 Analysis Request Use Only <br /> Protect Number PO No Protect Name 6 o WET (x) <br /> (O 04 y <br /> sr cY"Q_t4 S N <br /> Project Location Sampler Signature c TOTAL (x) r„ <br /> 00 <br /> CD <br /> Container ethod 0 2 0 0 0 0 <br /> Sampling (Type/Amount) Preserved Matrix N o co <br /> (a a m i ztu04. <br /> t <br /> Go <br /> 04 X LD c <br /> dv vOaaSample M W ° <br /> is 0 Jnz 0 D vNrDesignation Date Time a <br /> CPQ' 1 - is lX � WI I X XI I X <br /> cm - 90 14so 31 1 Al Ix w IX x I <br /> C" 1 - 115 i ss'o 31 1 1 x x <br /> i <br /> Relinquished by Date Time Received by Remarks <br /> RelinquIthed by Date Time Received by Email address <br /> ❑ doc ❑ xls ❑ txt ❑other <br /> Relinquished by Date Time Received by Laboratory Btll to <br /> 092-600 )syy ,.a �� J <br /> Distnbution White-Lab Yellow-File Pink-ongmator COC fh8(9198) <br />