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2795 2nd Street, Suite 300 <br /> /FF Davis,CA 95616 J <br /> Lab: 530.297.4800 2 <br /> ANALYT/CAL LLc Fax: 530.297.4808 Lab No. J & too Page of <br /> .4 <br /> Contact(Hardcopy or PDF To): California EDF Report? ElYes No <br /> Chain-of-Custody Record and Analysis Request <br /> [CC�roe <br /> ompany ddress: Pamne odedbutnd nwKbbxy to compiabliftsecuon <br /> sampling company Log code: Analysis Request <br /> CA <br /> 5- 1 <br /> Phone No.:/ <br /> � 'FAX No.: <br /> Global ID: _ lg <br /> N ~O �7 —0 17O <br /> iProject Number: P.O.No: EDF Deliverable To(Email Address): W p oyj <br /> 3 ', <br /> co <br /> T^ m N X C <br /> fA H F- (V 0 <br /> Project Name: Sample 'S m m 00 A 0 <br /> G..+E w op_n m w m m mo eo w c` <br /> 2 �_ CO 2 2 8 N <br /> P/r/No�jeyAct�J dress: �1/ Sampling Container eservative Matrix b a m $Q L <br /> 1 v / W. mI' S/—b� m Q N N N N m v v N 7 6. <br /> Q m m ie 0 o <br /> w o a o m C mmc c > o c� t <br /> Lco <br /> -9 w w w ~ ly0 M 0 M U m g! 05 <br /> J X X <br /> o f V O V O Q H H a a a O O O O m a o m N <br /> Sample Designation Date Time v cn t x _ z 3 cn m m a- 8- �, �, 0 w <br /> - I S, S � 9- tz•o /o _ dl <br /> 1230 _oZ <br /> — - © S. w ioo 03, <br /> 0506 S S Its 01 <br /> Z0- 4, 3.5 /vro 01 <br /> D - 3.S /300 10 <br /> Relinquis 0*100' Date Time Received by: Remarks: <br /> Pl«K a/S o e-'-1 / o yuifi tti <br /> Relinquished by: Date Time Received by: C-✓7 <br /> /Sf J ss L) l-t� s c els d , C'orv� / ►`�4(! <br /> Relinquished by: Date Time Received b Laboratory: ` Bill to: <br /> Q�i�-t�3 ►S`tS ��{� <br /> Distribution. White-Lab,Yellow-File,Pink-Originator Forms/coc 121001 fh9 <br />