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2795 Second Street, Suite 300 Calscience <br /> KIFF Davis, CA 95618 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 <br /> Analytical LLC Fax: 530.297.4808 714-895-5494 COC No. Page 2 of 2 <br /> Project Contact(Hardcopy or PDF to): EDF Report? YES Chain-of-Custody Record and Analysis Request <br /> Troy Turpen <br /> Company/Address: Recommended but not mandatory to complete this section: <br /> Kiff Analytical Sampling Company Log Code: SIRC Analysis Request TAT <br /> Phone No.: FAX No.: Global ID: <br /> _ 530-297-4800 530-297-4808 SL0002050099 <br /> Project Number: P.O. No.: Deliverables to(Email Address): o <br /> r <br /> 211402828.300.250 75022 inbox(d-)kiffanalytical.com 00 o <br /> Q M <br /> Project Name: Container/Preservative Matrix T c6 <br /> Parcel#2A-4Q10 Monitoring and Sampling 8 <br /> Project Address: Sampling o m <br /> z 0 0 <br /> T U_ <br /> Sample E <br /> Designation Date Time J I I I I I I I Cn <br /> MW-30 10/19/10 07:40 2 X X I I I I X1 I tl <br /> MW-32 10/19/10 06:00 2 Ix X I X %'2— <br /> MW-51 <br /> ZMW-51 10/19/10 14:25 2 X X X <br /> MW-56 10/19/10 13:22 2 X X I I X <br /> MW-57 10/19/10 07:35 2 X X I I I X <br /> MW-58 10/19/10 08:10 2 X X I I I X ly <br /> MW-61 10/19/10 08:56 2 X X I I X <br /> MW-63 10/19/10 12:36 2 X X I I I X 106 1 <br /> MW-68 10/19/10 11:40 2 X X X <br /> M 69 10/19/10 10:00 2 XL_L X X <br /> Ranqurs <br /> is d Date Time Received by: Remarks: Parcel#2A project has special pricing for <br /> fJai� 02O( 1900 SVOCs of$185 per sample. <br /> eIihed by: Date Time Received by: <br /> [elinqui ed by: a Time Received b La ry: Bill to: <br /> Accounts Payable <br /> C C� C <br />