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mom 1111111111111111F If-IIIIIIIIIIIIIII2795 Second Street, Suite 300 CaIscience <br /> KIF1101 mmr_z Davis, CA 95618 7440 Lincoln Way14-01-1129 <br /> Lab: 530.297.4800 Garden Grove. CA 92841-1427 <br /> Analytical LLC Fax: 530.297.4808 714-895-5494 COC No. 88708 Page 1 of 1 <br /> Project Contact(Hardcopy or PDF to): EDFReport? YES Chain-of-Custody Record and Analysis Request <br /> Troy Turpen <br /> Company/Address: Recommended but not mandatory to complete this section: <br /> Kiff Analytical Sampling Company log Code: SIRC Analysis Request TAT <br /> Phone No.: FAX No.: Global ID: SL0002050099 <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.O. No.: Deliverables to(Email Address): <br /> 185750217.700 88708 inbox _kiffanalytical.com � o <br /> Project Name: Container/Preservative Matrix >, N <br /> Parcel 2A <br /> Project Address: _ z D N d <br /> Sampling o � _ C <br /> Z = o <br /> > OR ¢ `o <br /> Q ILL <br /> W N w <br /> Sample Q Q � 0 <br /> Designation Date Time J N <br /> GW-EFF 07/16/14 13:01 2 2 1 X X X X X <br /> Relinquished by: Date Time Received by: Remarks: Please refer to attached Test Detail. <br /> Relinquished y: Date Time Received by: m <br /> rn <br /> o <br /> Relinquished by: Date Time Received by Laboratory: Bili to: <br /> Accounts Payable <br /> Return to uoments <br />