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2795 Second Street,Suite 300 Cal Science Environmental <br /> Davis,CA 95616 7440 Lincoln Way <br /> Lab 530 297 4800 Garden Grove, CA 92841 <br /> ANALYTICAL ccc Fax 530 297 4808 714-895-5494 Lab No QJg Page —�L of <br /> Project Contact(Hardcopy or PDF to) Geotracker COELT EDD REPORT? Chain-of-Custody Record naiysis Request <br /> Joel KO _YES _X_NO <br /> Company/Address <br /> Kiff Analytical, LLC Sampling Company Log Code Analysis Request p r7 <br /> Phone No FAX No Global ID <br /> Project Number P O No EDF Deliverable to(Email Address) Q o <br /> 77EL 20632 04 42224 w cal o <br /> Project Name E-mail address of <br /> 7-Eleven Store#20632 inbox @krffanal ical com � <br /> Project Address <br /> Sam tin Container Preservative Matrix `o <br /> o`oQ IL <br /> Sample � m CULL <br /> �. <br /> 3 m` i cd o w n M I 0 <br /> Designation Date Time c.9 a ¢E _ _ zz z 3 <br /> SP-1 (ABCD) 1/31/05118 10 1 X X I X X X <br /> Rehn uishe`d�y Date Time Received by Remarks <br />� .-- f� /�t� nti� -r1r�4( dao3o5 i¢oo <br /> i <br /> Relinquished Date Time Received by <br /> Relinquished by Date lime Received b Latin atary Bill to <br />