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KIFF2795 Second Street,Suite 300 Calscience <br /> Davis,CA 95818 7440 Lincoln Wayp�2� <br /> Lab: 530.297.4800 Garden Grove. CA 92841-1427 <br /> Analytical LLC Fax: 530.297.4808 714-895-5494 coc No. 76642 Pae t of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? No Chain-of-Custody Record and Analysis Request <br /> Scoff Forbes <br /> Company/Address: "K""•"'"°'°but"°'mandatory to corWeb this taedon: <br /> Kiff Analytical <br /> Sampling Company Log code: Analysis Request TAT <br /> Phone No.: FAX No.: Global to: <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.O.No.: Deliverables to(Email Address): <br /> Z. <br /> 9041.01P 76642 inbox(ftiffanalytical.com o <br /> Project Name: Container I Preservative Matrix <br /> > O <br /> - City of Manteca UST Removal m �` S a <br /> Project Address: o io ao <br /> Sampling <br /> o <br /> � LL <br /> Sample <br /> N fr <br /> Z. <br /> Designation Date Time ° w a <br /> S-1-STK 03/04/11 11:05 1 X X X <br /> S-2 03/04/11 11:20 1 X X X 2 <br /> S-3 03/04/11 11:25 1 X I X I I I I I X 3 <br /> S-4-STK 03/04/11 14:00 1 X X X 4i <br /> Relinquished by: f'" ate Time Received by. Remarks: <br /> AKV <br /> c3�Y/i ��A7 <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: []tat Time Received by Lab r to Bill toa. <br /> / Accounts Payable <br />