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2795 Second Street, Suite 300 Cal Science Environmental <br /> Davis, CA 95616 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove, CA 92841 <br /> ANALYTICAL cc.c Fax: 530.297.4608 714-895-54.94 Lab No. Page 1 of 2 <br /> Project Contact (Hardcopy or PDF to): Geotracker COELT EDD REPORT? Chain-Of- ustody Recor and Analysis Request <br /> Joel Kiff _X_YES —NO <br /> Company/Address: 1 1 d 6 <br /> Kiff Analytical, LLC Sampling Company Log Code: LETS Analysis Request v 0 <br /> Phone No.: FAX No.: Global ID: T0607700441 <br /> Project Number: P.O. No,: EDF Deliverable to(Email Address): 0 <br /> 206-1015 41088 inbox@kiffanal ical.com o <br /> Project Name: E-mail address: <br /> 3011 West Benjamin Holt Drive, Stockton, CA inbox@ klffanal ical.com <br /> Project Address: Sampling Container Preservative Matrix E <br /> P -� v o ¢ <br /> O `4 <br /> Sample N T o d Z Iw Z <br /> Designation Date Time 3 � ¢ v� M r _ U 0 � � Cb <br /> O <br /> T-1-10' 11/19/04 10:59 X X X X X X <br /> T-2-10' 11/19/04 11:01 X X X X X X <br /> T-3-10' 11/19/04 11:04 X X X X X X <br /> T-4-10' 11/19/04 11:07 X X X X X X <br /> T-5-15' 11/19/04 11:10 X I X X X I X X <br /> T-6-15' 11/19/0411:12 X X X X X X <br /> D-1-4 11/19/04 12:36 X X X X X X <br /> D-2-4 11/19/04 12:43 X X X X X X <br /> D-3-4.5 11/19/04 12:47 X X X X X X <br /> D-4-5 11/19/04, 12:54 X I I X X X X X <br /> Relinquished by: Date Time Received by: Remarks: <br /> Relinquishe y: Date Time Received by: <br /> Ralinquished by: a e Time Received by Laborat717 <br /> Bill to: <br />