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2795 Second Street, Suite 300 CaISCience <br /> KIFFO Davis, CA 95618 7440 Lincoln Way ®® �� <br /> Lab: 530.297.4800 Garden Grove. CA 92841-1427 <br /> 1 <br /> /-analytical LLC Fax: 530.297.4808 714-895-5494 COC No. 86109 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 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 /> 211602385.600.0800 86109 inbox(d,)kiffanalytical.com <br /> Project Name: Container/Preservative Matrix N <br /> o <br /> Parcel 2A o = <br /> Project Address: a J <br /> Sampling N N L <br /> _ o <br /> U. <br /> Sample E <br /> M <br /> Designation Date Time J °' <br /> GW-EFF 09/26/13 10:46 2 X X X 1 <br /> Relinquished by: Date Time Received by: Remarks: Rush OK by A. Porter 9/26/13 <br /> Re inquish d by: Date Time Received by: <br /> Relinquished by: Date Time Received by ratio Bill to: <br /> iJ, ,fii-gC Accounts Payable <br /> Kerurn to Contents <br />