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2795 Second Street, Suite 300 Gal Science Environmental <br /> Tr <br /> Davis, CA 95616 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove, CA 92841 <br /> YT/GAL ttc Fax: 530.297.4808 714-895-5494 Lab No. Page L of <br /> Project Contact(Hardcopy or PDF to): Geotracker COELT EDD REPORT? Chain-of-Custody Record and Analysis Request <br /> Joel Kiff X YES NO <br /> Company/Address: 6 <br /> Kiff Analytical, LLC Sampling Company Log Code: Analysis Request :)CETS <br /> o <br /> Phone No.: FAX No.: Global ID: T0607700441 <br /> Project Number: P.O. No.: EDF Deliverable to(Email Address): Z O <br /> O >1 <br /> 206-1015 41088 inbox@kif#anal ical.com � cv o <br /> Project Name: E-mail address: co 0 <br /> 3011 West Benjamin Holt Drive, Stockton, CA inbox@ kiffanalvtical.com as <br /> Project Address: 71 _3 CV L <br /> Sampling Container Preservative Matrix 0 co U E <br /> J cp {fj j lei <br /> Sample N 5 ' a Z w -� `� °° o <br /> Designation Date Time a riy z o o l° lV <br /> P-1-4 11/19/04 12:33 X X X X X X <br /> P-2-4 11/19104 12:40IX 1 X X X X X <br /> P-3-4 11/19/04 12:45 X X X X X X <br /> P-4-4.5 11/19/04 12:51 X XIX X X X <br /> WO-1-9 11119/04 11:20 X X X I X X X X <br /> Relinquished by: Cate Time Received by: Remarks: *Metals by ICAP/AES or AA <br /> ! /"�� a ///2;_e zzn� 7 <br /> Relinquished Date Time Received by: <br /> Relinquished by: Pale Time Received by Labo Bill to: <br /> i Z{ <br /> low) <br />