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nce <br /> KI FF !!� Davi Second Street, Suite 300 C Lincoln <br /> Davis, CA 95618 7440 Lincoln Way py23 <br /> Lab: 530.297.4800 Garden Grove. CA 92841-1427 <br /> Analytical LLC Fax 530.297 4808 714-895-5494 COC No. 76642 Pae 1 of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? No Chain-of-Custody Record and Analysis Request <br /> Scott Forbes <br /> Company/Address: Recommended ad me mn,eatory to compete fits s.ceoo: <br /> Kiff Analytical Sampling Company Log Code: Analysis Request TAT <br /> _ Phone No.: FAX No.: Global ID: <br /> 530-29711800 530-297-4808 <br /> Project Number: P.O. No.: Deliverables to(Email Address(: <br /> Z. <br /> 9041.01P 76642 inbox kiffanal ical.com h w a <br /> Project Name: Container I Preservative Matrix a m <br /> 0 <br /> City of Manteca UST Removal d 2 D <br /> Project Address: i; m ao <br /> Sam lin <br /> $ sT `o <br /> rto LL <br /> N <br /> Sample 0 L <br /> N U <br /> Designation Date Time ° `n a <br /> S-1-STK 03/04/11 11:05 1 X X I X <br /> S-2 03/04/11 11:20 1 X X X Z <br /> S-3 03/04/11 11:25 1 X X X 3 <br /> S-4 -STK 03/04/11 14:00 1 X X X 11 <br /> Relinquished by: f' Date Tiime Received by. Remarks. <br /> GJ21r�y �7 m <br /> Relinquished by: Date Time Received by. <br /> Relinquished by yakii Time Received by Lab r to Bill to: <br /> Accounts Payable <br />