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i <br /> 46 a le <br /> K2795 F 2nd Street,Suite 300 <br /> Davis,CA 95616 <br /> Analytical LLc Lab 530 297 4800 SRG#/Lab No 4-77(P'�' Page � of <br /> Fax 530 297 4802 —^ <br /> Project Contact(Hardcopy or PDF To) California EDF Report ❑No <br /> —Jlvvk11 Chain-of-Custody Record and Analyses Request <br /> C mpany/Address Sampling Company Log Code <br /> ,�Y Analysis Request TAT <br /> Phone# Fax# Global ID o -- ❑ <br /> NAO 477- 7u t $3t'S" Ln 12 hr <br /> Project# P O # 0 m <br /> EDF Dellverabie To(Email Address) ❑ O <br /> DP1115-U9(0L rJ r41,3 { ri� 6v►'1 4 <br /> a I <br /> Project Name Sam p 5e Is o 24 hr <br /> Rpm- STCCt-:k1h1 � `a+ N <br /> IL Ln m m N 4 CO ❑ <br /> Pro)ect Address �1� Sampling Container Preservative Matrix ® m W < $ a o 48 hr o` <br /> LS37 + 1tx, 1'•a a ¢ a W w v UO <br /> m <br /> j-Rbc ►ar CA N � w N r� W 35 <br /> W F � <br /> W a a 72 hr <br /> lire J <br /> W X LU <br /> V, <br /> Sample Designation Bate Time g ti c g 3 F a s 3 1 rvk <br /> Y►'1w•� i 6s <br /> I <br /> Oz <br /> nnw-`I d3 <br /> 04 <br /> New-S <br /> 07 <br /> mw-7 <br /> j�►1w-9 <br /> lywo,3 <br /> Mw-1D <br /> Relinquished by Date Time Received by Remarks <br /> s ck N1 <br /> Relinquished by Date Time Received by <br /> Fill to <br /> Relinquished by Date Time Received by laboratory For Lab Use Only Sample Receipt <br /> Temp°C Initials Date Time I Therm tD# COOM Prmera <br /> n 1 0 OIazp 1 =A-4 <br /> es / No <br /> Dstnbulton White Lab Pink Originator <br /> Rey 051805 <br />