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720 Olive Drive, Suite D <br /> .�� Davis CA 95616 <br /> Lab 530 297 4800 �7 <br /> ANALYTICAL LLC Fax 530 297 4803 Lab No ZZ k SS Page of �- <br /> Protectger Phone No <br /> n-A- <br /> q(6-- 9 _ Z/ 7 b Chain-of-Custody Record and Analysis Request <br /> CompRa,ny/Address F No F For Lab <br /> f`62/ 2 e-'j t/ /N G 671lr _g 3 J `"2 ] Z Analysis Request use Only <br /> Project Number PO No Email Address _ g <br /> ❑ pdf 0is O don other <br /> Protect Namefi ocatton Sa ler Signature mLU C4 <br /> co <br /> m �o <br /> i s <br /> m m m N a � A I I s <br /> 5 _ w <br /> �O .6 5 <br /> Contalner Method w �i w a q a <br /> j Sampling (Typs/Amount) Preserved matrix � $ a x x � N � � ° � . a a a a <br /> m � <br /> O N N <br /> Sample E _ o z X � N u u a <br /> U Z w O q x x x 0 O r t c <br /> Designation Date Tine q - = r U z r � h r- to w � V P- - <br /> - iM, 9-5:�o 1 11130 31 1 IN D( � <br /> H 1q — M w3 1,�a <br /> M'..J <br /> W� ;Ob <br /> -- rn&AJ � 121fs <br /> V'r <br /> PA tiJ 'til <br /> Rel had by ` LD to Time Received by Rernaft <br /> C41'-L� <br /> i Relinquished b Date Time Recelved <br /> 07o <br /> Relinquished by Rate Tune Received by Laboratory Bill to <br /> Drs d&&brr WhNs-Lab, Y*Ww-Fis Pink-Odprialor COC Ih8(5140) <br />