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2795 2nd Street,Suite 300 <br /> Davis,CA 95616 <br /> Lab 530 297 4800 43,956 2 <br /> ANALYTICAL A1C Fax 530 297 4808 Lab No Page of <br /> Pro act Contact(Hardcopy or PDF To) California EDF Reports Yes ❑No Chain-of-Custody Record and Analysis Request <br /> �V, 'il Ae l l Y Y 4 <br /> Company/Address ROMINIOWedbutnat to dt3%c0aa <br /> T ` r sampling Company Log Coda _ Analysis Request <br /> �eIto, Gwvir�rxM�ew�.� <br /> Phone No W No Global IDc 5z <br /> tA 638-TIG5 (4 w-ms "' C4 L4 <br /> Project Number PO No EDF Deliverable To(Email Address) S o <br /> 1V <br /> 509 %V"" �V,WMI.- $ N °0 O <br /> Proje Na a Sampler Sig tura{ "' m „ q° mm r R <br /> LU <br /> ` cr,,4 r! �P� 1Wwt �`GCFxAti w. 7 W m W ? N N ^ ~ <br /> Project Add s <br /> Sampling Container Preservative Matrix <br /> s> k 14i o <br /> a0 n S <br /> LU <br /> �, w W a C� m m '-= N <br /> Sample Designation date Time a = z U z $ ran m o N <br /> MW-1I 31 X X I X X X 11 <br /> KW-1t 17, <br /> Mw- 13 13 <br /> Mw-Iq 14 <br /> ►7 <br /> VW-1 15 <br /> VW-2- zo <br /> Relinquish b Date Time Received by Remarks <br /> Relinquished by Date Time Re <br /> Relinquished by Date Time Received by Laboratory Bill to <br /> ACID ' �- <br /> DWnbuim 141140-Lab Pink Ongaiator Fomutcoc 121001 M <br />