Laserfiche WebLink
IK . <br /> 2795 2nd Street, Suite 300 <br /> Davis,CA 95616 <br /> ANALYTICAL ccc �b 530 297 4600 f <br /> Fax 530 297 4808 Lab No y�91 _ Page I I of <br /> Prole onto H�y r DF To) California EDF Report? Yes ❑No <br /> r Chain-of-Custody Record and Analysis Request <br /> Compan Address !0eaormrend bwndnwWaiwwjow 1al-1 � <br /> Sampling Company LOU Code Analysis Request <br /> l <br /> ,Ph <br /> R11 <br /> id No - d �io��t b FAX No <br /> CO o N <br /> Pro Number P O No (° CO `� <br /> , �� / hrerabie o( all A/�r,{rens)) �_ SOD Xm m Om Z. <br /> r .y�41 1�,�1p, f (�Ol �' �V O lil W W N X C <br /> H F N m <br /> Pro e m _ I Sampler to $ ip m a r O <br /> C7 y c <br /> Protect Address 2 X U p, o � J3S pling Container Preservative Matrix � a M r N = `� t <br /> 0 m F cn a w m � LL M CO <br /> Q L7 N <br /> j m = cy LL <br /> Lu <br /> Sample Designation Oate Time � n = = CY <br /> CO <br /> U o a o iL CL Q o 0 0 0 a W t <br /> / �7I�Q <br /> Relinq ash <br /> (,Dll,e Time Received by Remarks <br /> T <br /> Rahnqui lied by Date Time Received by <br /> Relinquished by date Time Recewed by Laboratory ✓ 7 <br /> Sill to <br /> � j <br /> a31$05- /(0�0 f <br /> Arstnb Wide-Lab Ank-Ongrnator <br /> ormzkoc 121001 ih9 <br />