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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 /> Anail ytl Cal LLCO Fax: 530.297.4808 714-895-5494 COC No. 78189 Page 1 of 2 <br /> Project Contact(Hardcopy or PDF to): EDF Report? YES Chain-of-Custody Record and Analysis Request <br /> Jennifer Worsley <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: SL0002050099 <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.O. No.: Deliverables to(Email Address): <br /> 211602258.400.401 78189 inbox kiffanal tical.com Co <br /> Project Name: Container/Preservative Matrix a O <br /> Parcel#2A-3Q11 Monitoring and Sampling Q <br /> Project Address: Sampling o -J <br /> z 0 <br /> U- <br /> Sample E <br /> Designation Date Time J U) <br /> MW-66 07/20/11 12:10 2 X X X L <br /> MW-54 07/20/11 14:30 2 X X X 2- <br /> MW-74 07/20/11 11:10 2 X X X <br /> MW-67 07/20/11 11:25 2 X Ix X <br /> MW-73 07/20/11 11:40 2 X X X S <br /> MW-60 07/20/11 11:55 2 X X X <br /> MW-72 07/20/11 13:30 2 X X X <br /> MW-18 07/20/11 12:28 2 X IX X <br /> MW-42 07/20/11 13:10 2 X X X <br /> MW-58 07/20/11 07:35 2 X X X 10 <br /> Re' ui a by: Date Time Received by: Remarks: Special pricing of$185/Sample <br /> 0722xl I J q0o <br /> elinquished by: Date Time Received by: M <br /> N <br /> CD <br /> Relinquished by patq Time Received by L o to Bill to: Accounts Payable N <br /> �2l o ® r <br /> Return to moi,.— <br />