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2795 2nd Street,Suite 300 <br /> Davis,30.297 <br /> 61 6 <br /> Lab: .: <br /> ANALYTICAL LLC Fax: 530.297.4808 Lab No. Page of <br /> Project Coneard�py Rr POF To): California EDF,Report? XYes E]No <br /> 3 <br /> — Chain-of-Custody Record and Analysis Request <br /> Company/Address: orundedbutnalmandam tocam Id dlissecdon: <br /> *Iw` Sampling Company lag Code- Analysis Request <br /> Phone No.: FAX No.: Global ID: m <br /> &Q5%-2J.16 r� 63$-8 FSS m m $ L <br /> s � <br /> Prof@Ct Number: P.O. Na: EDF DeliverableV <br /> Email Address): ak o <br /> �7ov3-oat " w�c� o� 6",C00+ N � o <br /> _ProJect Name: Sampler Sign tore: .0 w o t <br /> `�+Soro la7 0$4r m c QQ N <br /> �r $ f' 3: = to N L5 N <br /> Project Address: S _ a � y c <br /> Sampling Container Preservative matrix a' � � _J <br /> C <br /> CA <br /> j y4J Qa <br /> E W O Z N <br /> U Z u! Q p O O ¢ m L <br /> Sample <br /> Designation Gate Time z x U ,z (n m is a <br /> is <br /> Mw- I 10(tz104 I ix I IIA t <br /> 1l <br /> ------------ <br /> Relin shed by: Date Time Received by: Remarks: <br /> Relinquished by: <br /> Relinquished by: Date Time ed by Laboratory: Bill to: <br /> Distribution: White-Lob, Pink-Originator or Porms/coc 121001JI19 <br />