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720 Olive Drive,Suite D <br /> ffiv <br /> Davis, CA 95616Lab:53Q.297.4800 ����YTICAL tec Fax:530.297.4803 Lab No, Page—9—L If <br /> Project Contact(Hardcopy or PDF To): EDF Report? ^1 Yes i_1 No <br /> k 'Si01,T- Chain-of-Custody Record and Analysis Request <br /> Company/Address: Paommwww but net b tt*secd= <br /> r✓UI <br /> Sampling Company Log Code: <br /> 10A-1 Zo — Analysis Request F <br /> Phone No.: [L FAX No.: �-,r�� LT <br /> ID: } <br /> 7 -2/7o � V• U• off m m N ►- <br /> 3y �i73- <br /> Project Number. P.O. No: le To{Ercall Address): m <br /> m o � w N V <br /> Project Address: pgature: �1�� o m m r 4 0 p <br /> Project Narne: <br /> f 5ampiin9Container Preservative Matrix o t m ° <br /> G y 7 T a m C7 <br /> LU <br /> Sample > > tr m 6 2 G m 8 <br /> p tu O Z ►�- r is is C7 �' co m <br /> N <br /> DeS1911atlOn Date Time v U x = U z u�i F a a a o 0 0 0. o m N <br /> F- F- W ? r <br /> CIO <br /> JAA <br /> W `l •1Q his )c K <br /> IV <br /> -/ <br /> L/ y_y�_o 4. x X X X —/3 <br /> II!` "�-�4'-� C;<I q V 1C Y ­15 <br /> __r ITr EL <br /> Relinquished by: Date Trme Received by. Remarks: <br /> Relinquished by: Date Time Received by: <br /> Relinquished by Date Tima Received by laboratory: Bill to: <br /> _ <br /> dam/ C <br /> Dishibubb White-Lab, Yetbw-File,A'nk-originator <br /> amislooc 1210011h9 <br />