Laserfiche WebLink
2795 2nd Street, Suite 300 <br /> *tAJNATLV77CAL,LLc <br /> Lab.61b. 530 29vis,CA 74800 Fax 530.297 4808 Lab No 3 SS Page of 3 <br /> Project Contact(Hardcopy or PDF`o) California EDF Report? tK Yes E3 No Chain-of-Custody Record and Analysis Request <br /> S �e A <br /> Coa �yl re /S—�-A S`2 i Sampling <br /> m ng�pany Log Code tHsrectlo�k Q <br /> Analysis Request �. <br /> No FAX No Global ID- m x <br /> 9 L4 <br /> Project Number PO No EDF Dellver9ble To(Email Address) <br /> S6-titt}iR9�arFt�1,4 k n '�- _ a <br /> � n � O <br /> OoqW Name Sampor Si na re <br /> R i2 l4 a XA c s <br /> Protect Address Sampling Container Preservative Matrix a v C1 t <br /> � <br /> U z w 0 a p s x x o a t <br /> Sample Designation Date nme W m z z z N m n ^ LOCL <br /> S -7—/1,--!r 4 03 6130 140 Ob -ol <br /> 7 — 3r ,5' 9s * 1 1x .03 <br /> S '7 "" s!.S 'OV -05 <br /> S is a #-S M y' it .dd <br /> s3 � ' aj� 1353 1F o -07 <br /> S � `� � 3 • � 1 1 `� x x eg <br /> SPS �s fa ' 3 x -�o <br /> Relin ed by r Time Received by Remarks <br /> Ao t4; —- - <br /> Relingu by Da Time R20tvad by <br /> I <br /> Relinquished b Date Time Received by Laboratory �c'i�-/ Bill to <br /> vo�a3 i9 <br /> Di MbUNDn While-Lab, Yellow-A79 Ank-Odglnator Formslcoc 121001 Ih9 <br />