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IFF <br /> 2795 2nd Street,Suite 300 II j <br /> Davis,CA 95616 , ?' 79f;7 <br /> Analytical tic Lab: 530.297.4800 SRG #/Lab No. <br /> �- <br />" � Fax: 530.297.4802 II ��'I Page � of <br /> Pr ' ntact Ha <br /> i' of (Hardcopy opy or F To): Caldomia EDF Report? Y� ' <br /> "0 Chain-0 Custody Record and Analysis Request <br /> Company/Address: Sampling Compan Log Code: <br /> Ef Analysis Request, TAT <br /> Phone#:o .Fax#: F GI �,` <br /> d !' 12 hr <br /> m <br /> Project#: P.O.#:' EDF Deliverable To(Email Address): o m' : <br /> .�_ - 7 (4t - 's s Q a C <br /> i0 El O <br /> 7 Y <br /> I • <br /> C� a <br /> Project Name: I Il Sampler Signature' V a , , 24 hr <br /> J \\ W krll� ~p 1} <br /> PrOJect Address: ! E w o o d Ci <br /> `� ca <br /> a rn `° ❑ 3 <br /> i I Sampling I net reservative Matrix $ s c a 48 hr . <br /> Q CY0 CL <br /> m m to a Y m o w v <br /> El <br /> IL m 72 hr <br /> 4 <br /> ww V m m = Q <br /> o U is w x a m m x <br /> H <br /> Sample Desi o' Z o <br /> nation Date Time cn Q c� I-m z = z �- a o O o o a a a o "' <br /> 3 rR ¢ m r~ > > > t- r- w 3 1 wk <br /> S-F EL (-, -c5 1' H 1 11 I v <br /> ES FT <br /> I <br /> `F —CS <br /> II <br /> I� <br /> li- <br /> F, <br /> I I€ II <br /> 11"1y <br /> {� a IF Ili <br /> ih <br /> Relinqud by: <br /> Date Time II <br /> isheVinReceived b <br /> { - �S �" Remarks: <br /> a <br /> �1 4o - <br /> Relinquished y= I Date Time Received by: <br /> S <br /> I Bill to: <br /> Relinquished by Date ' Tme Rec ed by II! For Lab Use O <br /> ,i I /_ !I I Sample Receipt <br /> ? Wq� Temp'C II Initials Date I Rma IDN ceei.r.P <br /> I -.I <br /> V Yes,1 No <br /> DishU ion: b;pink-priginatorl i <br /> Raw. nx;imnA <br /> ! I; <br /> II , <br />