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2795 2nd Street, Suite 300 <br /> .�� <br /> Davis,CA 95616 <br /> Lab: 530.257.4$00 <br /> ANALYTICAL ttc Fax: 530.297.4808 Lab No.� Page � of J <br /> Project Contact(Hardcopy or PDF To): California EDF Report? Yes ❑No <br /> "-'an Chain-of-Custody Record and Analysis Request <br /> S M <br /> Company/Address: Fteoan.nendedbutnot m ttissadiorr <br /> n e 114 Ell V Sampling Company Log Code: �- _ O. Analysis Request � <br /> Phone No.: FAX No.: Global ID: _ o <br /> P J 1O S G 3 p -o -4 'n n o m F <br /> ui <br /> Project Number: P.O. o: EDF Deliverable To(Email Address): m m m m 5► <br /> w 8x <br /> 4thc�deltaehv. co m m m # o` <br /> ProjectName; Samp l 5i re, �' °✓ m m m a c <br /> 7 /� W Irl m W tE lE m Q <br /> 7 0�4 � � � m 2 S � ap <br /> to .41 <br /> Project Address: <br /> Sampling Container Preservative Matrix m W m o y w y N � <br /> o r m m m CM <br /> — O <br /> n S m o w w m c > m a r LL <br /> >O ? R m o 2 `m <br /> H X <br /> c w U Z W O a 0 a a 4 O LU <br /> O m a o m N <br /> Sample Designation 7Dateime a w x x U z N m m r r F- n �+ w <br /> MW-d, NO <br /> MW- <br /> Relin uish b Date Time Received by: Remarks: <br /> Relinquished by: Dale Time Received by: <br /> Relinquished by: Date Time Received by Laboratory: fill to: ]� <br /> Distribution: White-Lab,Pink-Originator Fomislcoc 121001AMP MP <br />