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i i • <br /> 2795 2nd Street, Suite 300 <br /> .�� Davis,CA 95616 <br /> Lab: 530.297,4800 <br /> ANALYTICAL ccc Fax: 530.297.4868 Lab lJo. L43 4D Page�of <br /> Project Contact(Hardcopy or PDF To): California EDF Report? Ye8 C7 No Chain-of-Custody Record and Analysis Request <br /> Y Y <br /> r <br /> Company/Add ss: <br /> mpling Company Log CwL— r-� Analysis Requost 14- <br /> Phone <br /> P ne .. FAX No.: Global ID: <br /> Ca GGZc� U4 <br /> Project Number: P.O.No: EDF Dellvemble To(Ernatl Addrouo): o <br /> C3 U,M � o <br /> Project Name: Sam pl Sig to Ui L w m � �. o <br /> Project Address: /,r (� ampiing Contains Preservativ© Matrix m i5 A V w <br /> (pK a f� L145 oSf.��/. o gi m o N r ti <br /> z a a o o <br /> Sample Designation Data Time N = m m r 5 w <br /> t / -cit <br /> 10 <br /> ZZ <br /> 03 <br /> Y/I Oaf/Of d °y <br /> 45- <br /> L ac1 <br /> Z,Q �( •p"j <br /> / /' 09 <br /> � 7 z <br /> ats v 4 . lG <br /> Relinquished by: Date Time Received by: Remarks: <br /> 2/ <br /> Relinquishe r to -lme Received by: <br /> Relinquished by: Date Time Relved by boratory: Bill to: <br /> 210C ,310 <br /> Distribution: Wkita-Lab, Pink-Originator FprrnsltOC d 21001,Ih9 <br />