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720 Olive Drive,Suite D <br /> .�� Davis,CA 95616 <br /> Lab:530.297.4800 <br /> ANALYTICAL j.cc Fax:530.297.4803 Lab No. U i Page 3 of <br /> Proj Man aee k P 9�r N .:9�� _ ZI Ib Chain-of-Custody Record and Analysis Request <br /> compan /Add FAX No.: r For Lab <br /> pry �, hC �qr� W Al7alysis Request F Use Only <br /> hwrar. �,, <br /> Pro)W Number. P.O.No.: Project Name: Q W.E.T.!xl <br /> 1q -1q <br /> Z Z TOTAL(X) N <br /> Projed Locaation: Sa er Sig re: <br /> �F Cil, 4reli crZ a T( s <br /> o � t <br /> Container Method m _ <br /> Sampling (type/Amount) Preserved Matrix o t z r <br /> i3 L <br /> co m d d m O C N <br /> fD A d <br /> m 141 17J tv ca U <br /> Sample J E U z w 0 Q a OL <br /> 0 0 0 0 a. o. (0 �i N <br /> Designation Dat Time q � x v z 3 m m +� w w <br /> 535 - 61 zoo° I 5 0 -� <br /> ,d 5 KO <br /> z <br /> .00 Sss' 8% z <br /> S (00 - 8$ rz <br /> 570 -8% <br /> r ~� <br /> 6767-00 <br /> ! z <br /> SSo -68 � <br /> Roll uis ate Time Received by: Remarks: <br /> ?� 1 <br /> Relinquished by: Date Time Received b • Email address: <br /> ❑.doc ❑.XIS ❑.txt ❑other <br /> Relinquished by: a Time R Ived by Lab atony: Bill to: <br /> 1* ��Qg 9�s <br /> Distribution: While-Lab, Yellow-F11e,Plnk-O00910810rvC0C.fh8(9198) <br />