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12-10-1472 <br /> 2795 Second Street, Suife 300 Calscience r <br /> KIFFODavis, CA 95618 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove. CA 92841-1427 <br /> /analytical LLC Fax: 530.297.4808 714-895-5494 COC No. 82993 Page 1 of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? YES Chain-of-Custody Record and Analysis Request <br /> Jennifer Worsley <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): cV <br /> � T <br /> 211602385.500.0800 82993 inbox(akiffanalytical.com o <br /> aN O <br /> Project Name: Container/Preservative Matrix N y <br /> Parcel 2A `V <br /> 3 <br /> Project Address: o <br /> Sampling L <br /> _ o 0 <br /> 0 LL <br /> Sample E o <br /> Designation <br /> Date Time _ <br /> GW-EFF 10/19/12 14:15 2 1 X X X <br /> i wish b . Date Time Received by: Remarks: <br /> 101912 NO, v <br /> (D <br /> Relinquished by: Date Time Received by: 0') <br /> O <br /> Relinquished b Date Time Received by Laboratory: 1113ill to: Co <br /> NTI��" Accounts Payable <br />