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KIFF <br /> 2795 2nd Street Suite 300 <br /> Davis,CA 95616 <br /> AnalytlCal LLC Lab 530 297 4800 SRG#/Lab No / `� Page 1 of 1 <br /> Fax 530 297 4802 --- <br /> Project Contact(Hardcopy or PDF To) California EDF Report? ❑Yes ❑No <br /> R Smith � Chain-of-Custody Record and Analysis Request <br /> Company 1 Address Sampling Company Log Code a Analysis Request TAT <br /> Horizon Environmental Inc HEIS a <br /> Phone# Fax# Global ID m m <br /> 916 939-2170 916 939-2172 T0607791627 m 3 12 hr T <br /> Project# P O # EDF Deliverable To(Email Address) a ❑ <br /> 707642 4556 T klipiakQbonzonenvicQnmamatalLn=et <br /> W <br /> Project Name Sampler Signature m D ° a N 24 hr °' <br /> p 9 Joe Trapasso, a 4 LU ao W N 0 <br /> QuikStop76 Q306 QM N c+ <br /> to Wr d N <br /> w ° S a ❑ <br /> Project Address SamplingContainer Preservative Nlatnx _ o Go m a° H a a "a. <br /> J <br /> ►iJ- <br /> - <br /> 48h <br /> r <br /> ` <br /> wU.South Olive Avenue 0 ° Hw � <br /> aStockton D U6 <br /> 2 oy ❑ <br /> O > m rn f m o ca 72 hr <br /> > O D O <br /> 2 mnOc mx0 m m <br /> IL <br /> xLuZ o ii- 0 0 w 121Sam ie Designation Date Time 00 n to <br /> > 3 1 wk <br /> x x x x x <br /> i <br /> t <br /> i <br /> l r <br /> Relinquished by Joe Trapasso Date Time Received by Remarks Standard TAT <br /> 4" <br /> Relinquished by Date Time ceived by <br /> t <br /> 8111 to Horizon Environmental Inc,Gary Barker <br /> Relinquished by Date Time Received by Laboratory JG 144- For Lab Use Only Sample Receipt <br /> I <br /> l� CKP CI�� Temp°C Initials Date Trme Therm ID# Coolant Present <br /> c /V tom-- Ar , <br /> Distnbution White Lab Pink Onginabr YO I No <br /> Rev 051805 <br /> 0 i � <br />