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1197041 <br /> ,�� <br /> m 720 Olive Drive,Suite 1) Lab:916.297.4800 <br /> NALYTICAL <br /> LLC Davis,CA 95616 Fax: 916.297.4808 Page of <br /> Prole ager: Phone No.: <br /> t< Chain-of-Custody Record and Analysis Request <br /> Company/Address: FAX No.: For Lab <br /> Analysis Request Use Only <br /> Project Number: P.O, No.: Project Name: W.E.T.(X X <br /> Project Location: Sampler Signature: TOTAL(X) <br /> C%J <br /> Co <br /> Container Method <br /> Sampling (Type/Amount) Preserved Matrix co z <br /> M <br /> cc U co <br /> N <br /> W CL 0 <br /> o <br /> > 0 a N N <br /> Sample W W X ;z (a CG 05 CD 03 Co '0 <br /> < Lu CD - z 1-7 W uJ T -T <br /> RI -J 0 z 0 < 9 9 1 9 9 < <br /> Designation Date Time 0 1 F- a. 1 0 1 <br /> (n Ln r z m m r r w W W W W <br /> '4 <br /> 6 'C- P ( f?/ 7 119 1 1 <br /> 1, <br /> r C' ff <br /> C, <br /> -IT I I i i I Ell I I <br /> Relinquished by: Time Received by: Remarks: <br /> &4Wi,4Cl IB 9 q-11;Q <br /> Relinquishedr to Time Received by: Email address: <br /> O.doc Elxis, El.txt Elother <br /> Relinquished by: t Date Time LPeceived by Laboratory: Bill to: <br /> Distribution: White-Lab, Yellow-File,Pink-Originator 1 COC ft15 <br />