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275 2nd Street <br /> KI rF C O Dav s,CA 95616Suite 300 <br /> Y Lab: 530.297.4800 SRG#I Lab No. Gt 3 1 <br /> Fax: 530.297.4802 Page I of 2 <br /> Project Contact(Hardcopy or PDF To): Paul California EDF Report? PIYes ❑No <br /> Anderson,PSC Environmental Services Chain-of-Custody Record and Analysis Request <br /> Address: 210 West Sand Bank Road Columbia, Sampling Company Log Code: TMSLLIN7,0309 <br /> IL 62236 Analysis Request TAT <br /> Phone: (818)281-1543 Fax:(618)281-7020 Global ID: 70607700653 0 `m o ❑ <br /> 12 hr <br /> Project#: 62403335 P.O.#: EDF Deliverable To(Email Address): m m w <br /> PSC-62403335 pandemon@pscnm.com ❑ p <br /> Project Name: Sara Lee-Lincoln SarnA Signature: $ a Q $ a o ; N 24 hr <br /> 74 6` �(� <br /> w o m o a W r $ r a <br /> Project Address: Sam lin _ S " ❑ <br /> Container Preservative Matrix g m = w a a <br /> 1444 S Lincoln Street ¢ m qQm e a d r w $ = W E 48hr o <br /> Stockton,CA O a m w w $ p( w — `m r °-1 LL <br /> N a N N _v a E0 m S ❑ <br /> J O m m m p U c c yy <br /> a w w m m i m <br /> L. Si .60 <br /> � mmmO a <br /> 72 <br /> hr <br /> 2 w o <br /> 0 m uESam le Designation =— — _ = z Q RIo31 wkMW-1 <br /> Asia 4 <br /> X X X X X X UA <br /> MW-1DUP 1AM 4 X X X X X X OL <br /> MW-1A /bf= 4 X X X X X X 03 <br /> MW-2A X X XME— <br /> (�f <br /> MW-3A �S 4 X X XMW-4A 3b 4 X X XMW-7S 4 XX XMW-7D 4 X X XpVE-1 /ko 4 X X 1 <br /> XDCT-MW-8-87 /z/D 4 X X X �p <br /> Relinquished by: Date Time Received by: <br /> Remarks: <br /> o1-2-7.. 7 19 <br /> 4quished <br /> y: Date Time Received by: <br /> Bill to: PSC Environmental Services,210 West Sand Bank Road,Columbia,IL <br /> y: Date Time Received by Laboratory' <br /> For Lab Use Only: Sample Receipt - <br /> I Temp°C Initials Date Time Thenn. ID#I Ca Pirary <br /> Dialnbution: While-Lab;Pink-Orgnatar Yes / No <br /> Rev: 051805 <br />