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r� Ir it r r r �r r r r r r r r r s Ir r r <br /> KI FF fA 2795 2nd Street Suite 300 <br /> Davis,CA 95616 <br /> Analytical LLC Lab: 530.297.4800 SRG#/Lab No. Page 2 of 2 <br /> Fax; 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): Paul California EDF Report? ❑., Yes ❑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: TMSLLIN1,Q110 Analysis Request TAT <br /> It. 62236 $ <br /> Phone: (618)281-1543 Fax:(618)281-7020 Global ID: T0607700653 "' 2 $ 1❑fir <br /> y m <br /> Project#: 62403335 P.O.# EDF Deliverable To(Email Address): g w ❑ <br /> Oc <br /> PSC-62403335 pandemon@pscnow.wm m ma V 24 hr <br /> Project Name: Sara Lae-Lincoln Sam ler Signature: m a a $ a ; <br /> Q N N 0 S ❑ W <br /> Project Address: Sampling Conte' r Preservative Matrix Is o m m g a a w A v 48hr `o <br /> 1444 S Lincoln Street ¢ m m a a a u- <br /> Stockton,CA > i. H N < W <br /> W H B V k3 w p m <br /> U a a a ¢ m m v n m 2- o o m c 72 hr <br /> Z y n W W W d e v O O O g m u <br /> y N <br /> o zN W <br /> 2 0 tm2W m d N 0 Nam, <br /> uiv o oSam le Desi ntion Date Time c9 x z F E <br /> J > > > ti r W I 3 0 <br /> CTMW-9-120 0/ /:Z`/ � 4 1 1XIX1 I I X X X X <br /> QCTB — 4, 1 1XI X X X X X <br /> Relinquished by Date Time Received by Remarks. <br /> zta..4-1(— 6112--ltd /f.Sr <br /> Relinquished Date Time Received by: <br /> Bill to: PSC Environmental Services,210 West Sand Bank-Road.CoColumbia,IL <br /> Relinquished by: Date Time Received by Laboratory: For Lab Use Only: Sample Receipt <br /> Temp'C Initials Date Tlme Therm.ID# coolmtpm <br /> Yes / No <br /> OiehibVvhite-Lab;Fink-Originator <br /> Rev: 0518518 05 <br />