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2795 2nd Street, Suite 300 <br /> [I(tANA <br /> i �YTICA <br /> Davis,CA 95616 <br /> J/- L.4LC Lab: 530.297.4800 <br /> Rax: 530,297.4808 Lab No.Asa�A page^�of� _ <br /> Project Contact{Hardcopy or PDF To): California FDF Report? ❑ Yes o <br /> 0 &-,e Chain-of-Custody Record and Analysis Request <br /> Company/Addrwxlod <br /> p J^ ampling Company Log Code: Analysis Request <br /> Phone FAX No.. <br /> 3U GloballD; _ v <br /> m <br /> a �— � 7� m <br /> Project Number: .0. No: co ' rUi <br /> Et}F oil <br /> To(Email Adtlro4;s): 0� m <br /> m m ?{ }C Q CD X 1 <br /> Q ur Ill W M C <br /> Project Name: Sampler Signal 9 U l m r a m <br /> W W c� $ a - w o L a <br /> Project Address: x x a "' <br /> /� in <br /> �r'p Sampling ContaiPreservative Matrix g o a a 0 <br /> o `� <br /> U. <br /> E u! O z F- X a ro CD <br /> Sample Designation Oate e ? ox <br /> M <br /> > J N <br /> CG- ti S -3 o� <br /> Relinquished by: D Time Received by: Remarks: <br /> SIA <br /> / pRelinquis y: Time Received by: <br /> Relinquished by: Date Time Recel ed byL oratory: Bill to: <br /> loqVOS11310-1 K'4 4mlp(4 <br /> Distribution: Ift to-Lab, Pink-Originator <br /> Fvrrnsicoc 4211101.1h9 <br />