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2795 Second Street, Suite 300 CaISCience 13-08-1997 <br /> 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. 85823 Page 1 of 1 <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 Due Date <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): c <br /> 211602385.600.0800 85823 inbox _kiffanalytical.com CD <br /> C o = <br /> N O <br /> Project Name: Container/Preservative Matrix O N <br /> 6 M M <br /> Parcel 2A o <br /> Project Address: Sampling o <br /> L <br /> U. <br /> Sample E W <br /> Q <br /> Designation Date Time <br /> GW-EFF 08/28/13 10:15 2 X X X <br /> H-I ITT I I I I I I I I I I I I I <br /> Date Time Received b Remarks: Rush OK b A. Porter 8/28/13 <br /> Reliq�quis ed by: � y� y <br /> Relinquished by: Date Time Received by: <br /> Relinquished Date Time Recei ed by L r ory: Bill to: <br /> Accounts Payable <br /> Return to Contents <br />