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P <br /> 2795 2nd Street, Suite 300 " <br /> Davis,CA 95616 + <br /> Lab: 530297.4800 / <br /> ANALYTICAL <br /> LLC Fax: 530.297.4808 Lab No. C� Page of <br /> Project Contact(Hardcop <br /> y or PDF To): California EDF.Repolt? Yes ❑No Chain-of-Custody Record and Analysis Request <br /> Sc L9��wL <br /> Company/Address: FZeooeimendedbuitnot b tftseclion. h- <br /> pp Sampling Company Log Code: Analysis Request <br /> hone o.: F No.: Global ID: w m <br /> alb So-3-- (2"i 3 qu` M-$ FSS >n <br /> Project Number: P.O. o: EDF Deliverable T (E ail Address): m o X c <br /> � A— n u� u� w m O <br /> �Da03--o �1 v. n o nmi <br /> Project Name: S pier Signature $ w m 00 <br /> -TeOgD p4,,.�.� 1'b o m a a m coo N r <br /> Project dd�t,P},ss: sampling Container Preservative Matrix � � � � � z � � - � � c <br /> Z41 V W 1 moi'►tiVV` O N z ^O m <br /> EL' <br /> F tQ rn to m <br /> Y C - n ltl W <br /> E Lu o w z a = z z o a <br /> Sant ie Designation Date Time M i z �? z 3 r°n m m F ►. Ln n w 1 <br /> iH+ -or <br /> I <br /> I <br /> +1 <br /> F T LL� <br /> Relinquished by: Time Received by: Remarks:5late <br /> q I <br /> Relinquished by: D 1 <br /> I <br /> Relinquished by: Date T#w,Vkeceived by Laboratory: 1.1 to: <br /> Forrnslcoc 121001,th9 <br /> Distribution: White-Lab, Pink-Originator <br />