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720 Olive Drive,Suite D <br /> .�� Davis,CA 95816 <br /> Lab:530.297.4800 r <br /> AIVi4LYT/CAL LLC Fax:530.297.4803 Lab No. �7 2� 3 Page —of <br /> Project Manager. rP ne No.: Chain-of-Custody Record anO Analysis Request qrG <br /> Company Address: F No.: Q For Lab <br /> or�ZGH �h1/11�'B»M'1B'+LTIvI 44C. l'16J 7 31 —Z 177- Analysis Request use only <br /> 0 o W.E.T.(X) <br /> Project Number. P.O.No.: Project Name: N m <br /> H 1y. 2 Z TOTAL(x) <br /> eco Location, 5a er gnat e: <br /> GG <br /> Container Method OD <br /> 9 "0U' tU`7 <br /> Sampling (Type/Amount) Preserved Matrix 2 o C N N z t <br /> o o 0. <br /> gVEr o - m c9 N N aN°° coSample z z ¢ ¢ <br /> vCM <br /> zz fl. LIJ Designation care Time <br /> Lu <br /> _ Nr <br /> 6q5 —Mk-J(0 toz 5 O .3 <br /> • 5 50 - M zJ 1 a '3 <br /> S$S - moo <br /> '3 <br /> • <br /> 1560 - M W to l 3 <br /> • 1565 - MW 10 i -3 <br /> 5-70 -- M WID 4 <br /> 5X A6CD LMW <br /> T_L�L <br /> Reti y: <br /> Dpte time Received by: Remarks: _ <br /> r <br /> Z <br /> Relinqufahed b : Received by: all dress: <br /> ❑.d ❑.xis ❑.txt ❑oiher� <br /> Relinquished by: Date Time Received by Laboratory: bill to: <br /> 0IwdbuikN7: Whin-Lab, yellow-file,ftk-drl w1or COC.fh$(9198) <br />