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720 Drive <br /> Davis,Da , CA 96616 y� <br /> Lab: 530.297.4800 Lab No. 2{�.3 (� U Page 2 of 2 <br /> ANALYTICAL ccc Fax: 530.297.4808 <br /> Project Contact(Hardcopy or PDF To): California FDF Report? �Yes No Chain-of-CustodyRecord and Analysis RB uest <br /> R. Smith 1 <br /> Company/Address: Recommended but not mandatory to complete this section: Analysis Request <br /> Sampling Company Log Code: <br /> Horizon Environmental Inc, HEIS <br /> Phone No.: Fax No.: Global ID: _ _ m E <br /> 916 939-2170 (9161939-2172 70607700482 f ua 0 `4 <br /> O O fV [L <br /> Project Number: P.D. No.: EDF Deliverable To(Email Address): m c ro a � 12hr <br /> 1474.45 12474-41 rsmith horizonenvironmental.net m o x x o f C'3 <br /> Project Nagle: Sam er Signatur o c°v � � N ¢ -' w <br /> rr��liU M-r�t7�tiY m 6 m r a s 24hr <br /> Former Beacon 12474 u, L UJ 0 N {; <br /> Project Address Sam li Container Preservative Matrix 0 _ _ = N N o J_ N 48hr <br /> a <br /> Lb d t11 N N N N O 72hr �- <br /> Stockton O N = y 6 in °' — - V 4. CO n` `�' <br /> 7 > o_ a o in c c c m z v �' <br /> Sample r W w J x 0 c" n tm 0 � 1wk <br /> Designation Q w ° 0 z ° ¢ 0 a a 0 0 0 0 MV a- o 0) 01 <br /> Date Time v rn Q z z z to in l- ►- t- 0 r- 0 ti -J w > -4 <br /> x x x x x rt <br /> Relinquished by: VDate Time Received by: Remarks: <br /> fr t U <br /> AZL✓ %a1A <br /> Relinquished by: Date Time Received by: <br /> Standard TAT <br /> Relinquished by: Date Time Received by Laboratory: Bill to: <br /> x103 f(,r� <br /> Ultramar: Joe Aldridge <br />