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i <br /> KI F2795 2nd Street,Suite 300 <br /> 0Davis, CA 95616 • <br /> Analytrca! zzc Lab: 530.297.4800 SRG#/Lab No. <br /> Fax: 530.297.4802 Page of ` <br /> Project Contact( rO�Y1or PDF To): Cali}omia EDF Report? Imo„ ❑ — <br /> es Chain-Of-Custody Record and Analysis Request <br /> Company 1 resS: Sampling CornpanY Log Code: <br /> �Q rv`- Iii 1 Lr Analysis Request TAT <br /> P e#: ax Global ID: L <br /> K � �3k- - Global -r'o ba d oo `t z- � o ❑ <br /> >'roject#: P.O.#: r 12 hr <br /> 7 Z F Del' arable 70(Email Address): r o m o W <br /> Ij tr� 1, lot, 1.K& ! a c�'i ❑ C <br /> Project Name: : N � m 24 hr m <br /> 5a ler Signature: C.ro. �' <br /> 17, $ w w w N <br /> Project Address: <br /> G Sam in Contai r re alive Matrix 1 m 40 (D W 4 m a <br /> m ow a s a, 5 rz a w 48 hr o <br /> ! _ m a s a U. w a. m U � <br /> CY m C'. <br /> w w N pGo vii <br /> UJI <br /> i m wEl <br /> w Q @ 2 O O i5 m m 72 hr <br /> E m �, .n p w w X Cry rrs m m m <br /> Cd <br /> Sample Desi nation Date Time � 0 t7 _ z° 3 rR Q m = a a a o w I�G <br /> KX <br /> 1 wk <br /> 02 <br /> 1� <br /> FF <br /> II <br /> Relinquished by Dale Time Received by: <br /> Remarks: -5- <br /> i <br /> Relinquish Date Time Received by: <br /> 'I <br /> n <br /> Bia to: n <br /> Ratinquished by Date Time Received by Laboratory. <br /> For Lab Use Only: Sample Receipt <br /> 12• � oars ,(J /�►�,,jr��-. 1 <br /> Temp-C iratials tyle Time PWM lD# <br /> DWdxcf ' whsle-Lab:Pink-6=77 <br /> I Yes 1 No <br /> I <br />