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2795 2nd Street, Suite 300 <br /> .�� Davis,CA 95616 <br /> ANALYTICAL ttc Lab: 530.297.4800 <br /> Fax: 530.297.4808 Lab No. � Page�of <br /> Project Contact(Hardcopy or PDF To): California EDF.Report? Yes ❑No <br /> Chain-of-Custody Record and Analysis Request <br /> Comps y ddress: Rem mWed but„ot ,, o c <br /> 5 <br /> 4e P Sampling pony Log Code Analysis Request <br /> hone No.: FAX No.: Global ID: m <br /> .916 q- Co <br /> 79 fi4 -a <br /> roject umber. P.O. No: EDF Deliverable To(Email Address): 2 m m <br /> 7 "/�� X x m o 7+ <br /> r {7� , 1 4 W W W [V X �C C <br /> Project N me: Sampler Signature: � m m a S o <br /> w n co <br /> p � c=7 N a C M <br /> Project Address: <br /> Sampling a0 _ <br /> }t O /�,•��� P' 9 Container Preservative Matrix $ r a �, ° — N r '° <br /> 3 tVV4n Q r o h m V a <br /> O ui N az <br /> 1 7 � w <br /> LL <br /> E to <br /> Sample Designation Date Time i = °z m a a a o 0 0 o m a a m N <br /> ago H r r u� ti us n -J to <br /> L A i v I <br /> t 1X A )c o2 <br /> x <br /> -AX UIJ <br /> t x x <br /> 0 <br /> Relinquished by: I Datf Time Received by: Remarks: <br /> elinquished by: Date rReceiv4ueRelinquished by: Date y Laboratory:t=;q+ ill to: <br /> 12b� � � <br /> Distribution: Afte-Ub, Pink-Originator <br /> A4 te( <br /> Forha0coc 121001.fi9 <br /> I <br />