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■� �■ s w � w r2796 2nd s w r r r r <br /> K FF LLC0 Davis,CA 95616Street <br /> Sulte 300 <br /> Lab: 530.297.4800 SRG#/Lab No. Page 1 of 1 <br /> Fax: 530.297A802 <br /> Project Contact(Hardcopy or PDF To): Paul California EDF Report? Eyes ❑No <br /> Anderson,PSC Environmental Services Chain-Df-Custody Record and Analysis Request <br /> - <br /> Address: 210 West Sand Bank Road Columbia, Sampling Company Log Code: TMSLLINI,QIID Analysis Request TAT <br /> IL 62236 <br /> c <br /> Phone: (618)281-IW Fax:(618)281-7020 Global to: 70607700653 S ❑ <br /> 12 hr T , <br /> Project#: 62403335 P.O.# EDF Deliverable To(Email Address): o w ❑ a <br /> PSC-62403336 panderson@pscnow.com « o _a 24 hr <br /> Project Name: Sara Lee•Lincoin Sampi rSignature: ��- a .9 <br /> Project Address: am Aing i Wymi o m N " O <br /> ' N4❑8h <br /> r LLJ`o <br /> 1444 S Lincoln Street o, °- O E <br /> Stockton-CA 8 G ty c E <br /> ❑ <br /> 3 00 <br /> c U <br /> 21 1w ._ <br /> 72 hrU mmL 3m n o <br /> i O O o <br /> o. <br /> 0 <br /> v a; w w X (7 <br /> o U- o '^ o m <br /> Tia o 0 m o 8 o a a =' LL 1 wk <br /> Sample Designation Date me v w > 5 1- x x z � w ¢ f 2 m r- n n � > > > F 1- LL <br /> TX-MW-8-50 d1 -12—m /lie 4 X 1XIX M X X <br /> TX-MW-14-49 /as 4 X IX I IXIX X X <br /> TX-MW-21-80 4 X X X X X X <br /> 1111111 + <br /> Relinquished by: Date Time Received by: Remarks: <br /> ,41— /17 <br /> Relinquished y: Date Time Received by: <br /> B01 to: PSC Environmental Services,210 West Sand Bank Road,Columbia,IL <br /> Relinquished by: Data Time Received by Laboratory: For Lab Use Only: Sample Receipt <br /> Temp°C Initials Date Time Therm.ID# CuomarPreaem <br /> Yes / No <br /> DismbutionWhile-Lab;Pink-OriglnatW <br /> Rev: 051805 <br />