Laserfiche WebLink
KWF <br /> 2795 2nd Street,Suite 300 <br /> 0Davis,CA 95616 <br /> Analytical LLC Lab 530 297 4800 SRG#1 Lab No `Q� ✓ Page of <br /> y Fax 530 297 4802 4 <br /> Pr contactrn y or PDF To) Calrromia EDF Reports Ptves ❑rro Chain-o#-Custody Record and Analysis Request <br /> any 1 Address Sampling Company Log Code f' { <br /> AnaEysls Request TAT <br /> or <br /> C4 <br /> Phone# Fax# Global ID o -- ❑ <br /> 14 <br /> 1 1—Da 0 04-q 1 11 o m 12 hr <br /> Project# PO # EDF eIN ble To(Email Addressy 5 I m m m c <br /> CO <br /> Z CO <br /> ueai a ❑ m <br /> ect Name Sam ler Slgnatu V-O.,S -4- Ao FIN $ m ,� a ° 24 hr � <br /> lZ.` l ° COW " M <br /> ❑ a <br /> Project Address Samplin Con iner reservative Matnx m CY � `� J a a 48 hr o <br /> J <br /> a ; a a w UL <br /> m m m a a U v LL a m <br /> EM W< 4C ccw _Y aa8 LU <br /> 0 wMa ` <br /> 72 hra a oB <br /> > r7, COp m `m w W c7 <br /> a — m m v <br /> Sample Designation Date Time It W a° 0 � z � z° � r° ¢ � i-- m � a o � <br /> VIES _ E Wf-05 /31-0 x 1 <br /> i <br /> Relinquished by <br /> Date Time Received by A9 <br /> Remarks +_ <br /> alilos � s <br /> 1 <br /> Relinqu MDate Time Received by <br /> all to , _� �,. <br /> Relinquished by Date Time Received by Laboratory Af For Lab Use Only' Sample Recent <br /> t 0 gQ 1; 'ffi ca Temp-C InNals Date Time Therm ID 1e coast pro"" <br /> tiU <br /> Yes ! No <br /> Dstribir iw Mille- Lab Puck Onginator <br /> Rev 061806 <br />