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v v e O Lab:916.297.4800 <br /> NALYTICAL 720 Olive Drive,Suit Page r �, <br /> LLC Davis,CA 95616 Fax:916.297.4808 <br /> Project nager: Phone No.: <br /> ��� �� 5/(o �qq per Chain-of-Custody Record and Analysis Request <br /> Company/Address: FAX No.: For Lab <br /> 9G to&, M 1 c a j Ai/6 154G 5/ta0� 5'2-')1 Analysis Request use Only <br /> Project umber: P.O. No.. Project Name: -r�-��p�1� rN� �, W.E.T.(X) 3 <br /> 116-2-11 l G i7! D�t /5 F- 2g�.O v" +— TOTAL(x) Y <br /> Project Location: Sam ler ignature: <br /> 0 <br /> Ab K7W W Ln CD <br /> N <br /> Container Method m <br /> dD N <br /> Sampling (TypelAmount) Preserved Matrix — " y z L <br /> m O hy <br /> C7 N a O Go <br /> N N N <br /> Q , <br /> O co Q d nr 0- <br /> W � U � r N N O O N N r r 0- <br /> Sample <br /> N <br /> en w w y� X f0 M ao as 00 co () L <br /> Sample o U Z w d Q H w a- 0. 4 2 a¢. a a Q m a N <br /> Designation Date Time >> uJi r 0 x = U � CO- m w w w w w L) <br /> I 5- � �p X X i X K -0 <br /> I oa <br /> SN,SrTs P 4 <br /> f,11 12W <br /> Reli quis d by: Ttme Re' i d by: S c�rt Remarks: <br /> j I5 <br /> Relinquished by: Date Time Rece• d by: Email address: <br /> ❑.doc [I-xis ❑.bct ❑other <br /> Relinquished by: Date Time Received by Laboratory: Bill to: <br /> Distribution: Wh7e-Lab, Yellow-FiA%Pink-onginator COC.th5 <br />