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t. 1 it f <br /> 2795 2nd Street, Suite 300 <br /> Dav16 <br /> Labi5530 9764800 r� <br /> ANALYTICAL ccc Fax 530 297 4808 Lab No ��V � Page 4 of <br /> Project Coc!(Hardcopy or P"I7F To) California EDF Reports Yes ❑No Chain-Of-Custody Record and Analysis Request <br /> Company/A ress ` ir,,.naadbutnotmandsfo earn er?fhisaerJion <br /> Sampling Company Log Code C <br /> f t 2 B' I� C I � Analysis Request <br /> Phone No-I�6 /l r�� "'� )q 31 rill }Z Global IDIS b R fir] p p o X <br /> V •� 1 0 LU <br /> (�}rject Number PO[J �LNj�o�''�_�p7 7 EDF 1 rable (Ema�lll A(yJ�_udrress)) <br /> l V t �� ^� tec 1 •w __l O vJ W w N x C <br /> ProLee Sampler Signature $ '" m m r a ~ m <br /> � 7 <br /> 144 <br /> Project Address b a N y a a <br /> j samplinCO <br /> g Container Preservative Matrix t t <br /> LL <br /> � � C � 0 l6 N L V. <br /> S •fJ M W °C 90 R " of O N W V N <br /> X v c <br /> of U zz V O a 0 a = a 0 0 0 m a o m <br /> $ant le Desi nation Date Time v cn x x z cn m ,- ►- W > <br /> MW-I q Islas iw6 51 1 Ix I PelY11 X I ?� <br /> o MW- <br /> MO-3 i5�3 5 X X A K <br /> MW-H IHiO 5 X Y, K �( X—D <br /> MW- I Y2.� XIx X p� <br /> to �U-t, I o X 6 <br /> —K XF .-K 1/1 A <br /> 8 "W-ce 111kS S I Ix X X X' Nic <br /> I.-H-1 ITI I I '-� l I 1 -411 <br /> Relinquished by a Da .Tffne Received by Remarks c T <br /> AT <br /> Relinquished by Dae Time Received by 'C G <br /> Initial <br /> Relinquished by Date Time R: y L bo e. BEII to r �" Formslcoc <br /> Olstnbution White Lab, Pink-Onginator 121001 fh9 <br />