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11 <br /> 2795 2nd Street, Suite 300 <br /> .�� Davis,CA 95616 <br /> Lab: 530.297.4800 <br /> ANALYTICAL eec Fax: 530.297.4808 Lab No. aw/ (/ Page of <br /> ProjeCon (Hardcopy or PDF To): California EDF.Report? Yes ❑No <br /> ` Chain-of-Custody Record and Analysis Request <br /> Comps /Address: ReCdr,re.aedtautr+ot b pisrecMan <br /> J Sampling Company Log Code: <br /> q8'� ; �' Analysis Request <br /> Rhono No.: :AY No.: Global lD: <br /> D _ _/ ( GTTO ID <br /> m X <br /> N W <br /> Proje Number. P.O�fN : E F verabl To(Small Address): <br /> ? ;xm7 m o it }, <br /> ig <br /> LU 0 <br /> g v m m a <br /> Pr200 Name: rr) 11 5ampirSignat <br /> YIM <br /> Z � cCO <br /> m o c a e <br /> 1,4 <br /> Q J <br /> Project Address: Sampling Con finer Preservative Matrix _� 'o P P ° �, N r -J <br /> m m o 'gym" 9 `h a 0 <br /> U <br /> VG. � � <br /> W 1'f u.i N = V <br /> c (q m N <br /> E <br /> 1 U LU z 0 Q O ' a a a V O 0 m a o W ` <br /> Sam le Desi nafion ate Tlme a M z z v z y m m r L � w <br /> V- FF 101400e7 /4►S fi ! <br /> 1. <br /> li <br /> Relinquished by: C,t`c+. at rime Received by: Remarks: r <br /> 0406 1� S T <br /> Relinqu h b : Date Time Received by: <br /> Relinquished by: DateL Time Re Ived 2;;2: Bill to: <br /> Distribution: White-Lab, Pink-Originator Formslcoc 1210111.M <br /> i <br />