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RAA <br /> Olive Drive <br /> DaDavis, CA 95616 <br /> Lab: 530.297.4800 Lab No. -2 8 -3 6 19 Page 1 of 2 <br /> ALYTICAL ccc Fax: 530.297.4808 — <br /> Project Contact(Hardcopy or PDP To): California EDF Report? f—Yes No <br /> Chain-of-CustodyRecord and Analysis Re uest <br /> � <br /> R. Smith <br /> Company I Address: Recommended but not mandatory to complete this section: Analysis Request ~ <br /> a <br /> Sampling Company Log Code: �- <br /> Horizon Environmental Inc. HEIS <br /> Phone No.: Fax No.: Global ID: <br /> 916 939-2170 916 939-2172 70607700482 w m 1p ~ <br /> 0 0 �+ w <br /> Project Number: P.O. No.: EDF Deliverable To(Email Address): m m m o 12hr <br /> m (o �. <br /> 1474.45 12474-41 rsmith horizonenvironmental.net m om w X w m r c, O <br /> Project Name: Sampler co Signature* J �, m a a 24hrCo <br /> N <br /> Former Beacon 12474 , W'r J(/`witi 1 1-C�I r'rFEAy r„ U, _ _ w o <br /> m m ^ N f <br /> Project Address Sam lin Contac er Preservative Matrix a a o 0 0 N 48hr cu <br /> Stockton a Jm d ' ' <br /> a Y2 <br /> �N <br /> LL <br /> 72hrO <br /> > G C C N0Sample w Wr00„ <br /> ¢ zUz o Co <br /> Q o° i v f oDesi nation Date Time cH F- m ry Ln n -1 <br /> x x x x <br /> X b( <br /> 1C t <br /> O3 <br /> YOU <br /> 3 0- <br /> �� y eq <br /> Relin ished by: Date Time Received by: Remarks: <br /> ar/t.Z 0 <br /> Relin uished by: Date Time Received by: <br /> I <br /> Standard TAT <br /> Relinquished by: Date Time Received by Laboratory: Bill to: <br /> kFP 111tramar: Joe Aldridge <br />