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2795 2nd Street Suite 300 <br /> JtA <br /> �� Davis, 0. 95616 /yLab:530.297.4800 Lab No. 7 Page 1 of 1 <br /> A YY77CAL ccc Fax:530.297.4808 <br /> Project Contact(Hardoopy or PDF To): California EDF Report? ❑Yes ❑No Chain-of-Custody Record and Analysis Request <br /> Joe Neely/707-933-2361/jneely®cambrfa <br /> Company/Address: but not mandriary to Complete this mcdon: Analysis Request Q <br /> Sampling Company Log Code: H <br /> Cambria/5900 Hollis St.Ste A,Emeryville _ <br /> Phone No.: Fax Global ID: 00 ❑ 12hr <br /> 510-420-3313 510-420-9170 0 IL! <br /> O <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address): a0 m 3 ?Ahr <br /> 246-0323-006 ShellOaklandEDF@cambria-env.com o a io w � ❑ _ O <br /> Protect Name: Sampler 8 ,�, � m m cli_I a s 48hr w <br /> a <br /> Shell Station Signature: w w C9 m .a W o <br /> M o m 0 0 00 °° a g w a c <br /> Project Address: Sam ling Container Preserva ve Matrix � z = o � $ N 72hr 3 <br /> a a m O o <br /> 1071 N.Main St.,Manteca,CA Q m w m m v LL a1 u <br /> F o m w m y <br /> O W a d Q C C C C 5 O 'd a aD T 1 wk <br /> Sample ' W w w CM 0 o m a o a, � a i O <br /> UJ X (2 a 2wk <br /> J fn 0 w Z Q W w = _ = a Q c a <br /> Designation Data Time v M d z = v z (1) m m �, ,. �, ,. w > aa.. a r1�_ <br /> H-1-6.5 12/712004 957 X X X X X X X �17J11 -0( <br /> 71 <br /> H-2-4.5 12/7/2004 1518 X X X X X X X +�►"�' <br /> 3-6.5 *12"17r,10114 X X X X X X X- u XX <br /> R Inquished by: Date Time Received by: Remarks: <br /> ffie ulshed by: Date Time Received by: Please send a copy of report to Ray Von Flue® Env.Health Dept,San <br /> JI Joaquin Cty,304 E.Weber Ave.,3rd Floor,Stockton,CA 95202 or email <br /> 1414-d� -.Z 0 rvonflue®s' ehd.com <br /> Relinquls by: Date Time Recelved by Laboratory: Blll to:,Sk TUU <br /> _ <br /> 12lo' /625 <br /> AU4jgAP# 135570 <br /> Km EcoC 011204 <br />