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2795 2nd Street Suite 300 <br /> Davis,CA 95816 � <br /> Lab,530 297 4800 Lab No Page 2 of 2 <br /> ANALYTICAL LLc Fax 530 297 4808 — --- <br /> Project Contact(Hardcopy or PDF To) California EDF Report? p Yes Chain-0f-Custody Record and Analysis Reques# <br /> Jennifer Worsley No <br /> Company I Address INor-ornmonded twt not mandatory to complete this section Analysis Request Q <br /> Apex Envirotech Inc Sampling Company Log Code <br /> 11244 Pyrites Wy Gold Rnrer,CA 95670 APEF _ <br /> Phone No Fax No Global ID m 12hr <br /> 916-851-0174 916-851-0177 70607736979in <br /> ; CV W Q <br /> Project Number PO No EDF Deliverable To(Email Address) m o 24hr <br /> NW P01 004 cmartln a xenvirotech com m a w cv � � O <br /> Project Name Sampler $ �, ° i~ " n a m <br /> .- 48hr to <br /> New West Petroleum Signature m m m CO m g 0 Q <br /> Protect Address. Sampling Container Preservatirre Matrix � a a a N o 72hr a <br /> CO tv! O O <br /> 6437 W Banner 5t,LodiQO m m o m .� m 1 Wk IL <br /> Sample W 0 a � � > 0 <br /> ' ; } W W W CO m m d <br /> Designation Date Time v i a ¢ m '0 2wk <br /> z N m � 0 o O o m UJ > <br /> I -Ji 1 101 <br /> V EW-1 x X I I X I I I X I X 1 wk <br /> EW-2 157V X X I I X I I I X I X I I I I I 1 1 wk x. <br /> V EW-3 X X I I X I <br /> I I I X X 1 wk <br /> Y EW-4 X X X X X I I 1 1 1 1 1 wk <br /> 14 <br /> -5 up X1 x x x x 1 wk <br /> [Rol n Ished by Date Time Received by Remarks <br /> 7 <br /> Relinquished by Date Time Recerved by- <br /> Relinquished <br /> yRelinquished by Dat lime R Ived by ratory- Bill to <br />