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i <br /> I <br /> 2755 2nd Street Suite 300 <br /> Davis,CA 95518 <br /> Lab 530 297 4800 Lab No r Page 1 of 2 <br /> AIVALYT/CAL i-i-c Fax 530 297 4808 <br /> Project Contact(Hardcopy or PDF To) Califomla EDF Report? []Yes No Chain-of-Custody Record and Analysis Request <br /> Jennrfer Worsley <br /> Company I Address Recommended but not mandaloryto complete this section Analysis Request <br /> Apex Envlrotech,Inc Sampling Company Log Code <br /> 11244 Pyrites Wy.,Gold River,CA 95670 APEF _ <br /> Phone No Fax No. Global 10 0° ❑ 122hr <br /> 916-851-0174 916-859-0177 T0607736979 r w <br /> Project Number PO No EDF Deliverable To(Email Address) 0 3 24hr <br /> NWPO1 004 cmartn apexenvirotech com m c 0 N ❑ p <br /> _ w <br /> Project Name Sampler m �, Ceqa3 -0 <br /> O <br /> h Q 48hr <br /> New West Petroleum Signature w ui m ea <br /> Project Address Sampling Container Preservative Matrix 5 W � x = 72hr <br /> M a V V <br /> m m o w N 0 LL <br /> 6437 W Banner St,Lodi ¢O •- o m N 1 VAC <br /> IA1 Q = ❑ 0 M C C C C N <br /> Sample E w a m O z wx ro t7 T IV � Y <br /> a 0 U z w 0 a u1 uuullll z z = 6 ' o O - ¢ f6 - O <br /> / <br /> Designation Date Time .� rn a ¢ _ x z u�i m m H v, 0 ti 3 w <br /> MW-1 )a « X X X X X 1 wk O <br /> V/ MW-2 b� X x X X X 1 wk <br /> MW-3A X X X X X 1 wk fl <br /> >/ MW-4A f bt7 X X X I X X 1 wk <br /> i/ MW-5A I X X K X X 1 wk <br /> MW-313 X X X X X 1 wk <br /> V.MW-4B X X X X X 1 wk 7 <br /> MW-58 X X X X X 1 wk <br /> t� MW-08 f Y9a X X ixx <br /> X X 1 wkbV <br /> MW-6C 10 X X X X 1 wk <br /> Roll ulshed by Date Time Received by Remarks. <br /> t tai V I <br /> ec 1 <br /> Relinquished by hm n <br /> Date Time Received by gate 9 <br /> Gac ank tsresti <br /> Relinquished by Date Time Re eived by boratory, Bili to <br /> �3 <br />